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Advances in Shock Management and Fluid Resuscitation in Children
Indian J Pediatr ; 2023 Mar; 90(3): 280–288
Artigo | IMSEAR | ID: sea-223747
ABSTRACT
Shock in children is associated with signifcant mortality and morbidity, particularly in resource-limited settings. The principles of management include early recognition, fuid resuscitation, appropriate inotropes, antibiotic therapy in sepsis, supportive therapy for organ dysfunction, and regular hemodynamic monitoring. During the past decade, each step has undergone several changes and evolved as evidence that has been translated into recommendations and practice. There is a paradigm shift from protocolized-based care to personalized management, from liberal strategies to restrictive strategies in terms of fuids, blood transfusion, ventilation, and antibiotics, and from clinical monitoring to multimodal monitoring using bedside technologies. However, uncertainties are still prevailing in terms of the volume of fuids, use of steroids, and use of extracorporeal and newer therapies while managing shock. These changes have been summarized along with evidence in this article with the aim of adopting an evidence-based approach while managing children with shock.

Texto completo: DisponíveL Índice: IMSEAR (Sudeste Asiático) Revista: Indian J Pediatr Ano de publicação: 2023 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: IMSEAR (Sudeste Asiático) Revista: Indian J Pediatr Ano de publicação: 2023 Tipo de documento: Artigo