Does fluid bolus therapy increase blood pressure in children with sepsis?
Elliot Long, Franz E Babl, Ed Oakley, Sandy Hopper, Bennett Sheridan, Trevor Duke
EMERGENCY MEDICINE AUSTRALASIA | WILEY | Published : 2020
OBJECTIVE: To describe the effect of fluid bolus therapy (FBT) on blood pressure in children with sepsis. Secondary outcomes included the effect of FBT on systemic vascular resistance, shock index and shock phenotype (warm or cold). METHODS: This was a prospective observational study in the ED of The Royal Children's Hospital, Melbourne, Australia. Participants were children meeting international consensus criteria for sepsis who received FBT for tachycardia or hypotension. FBT was defined as 10-20 mL/kg of 0.9% saline. Mean blood pressure (MBP) was recorded at baseline, 5 and 60 min after FBT. Total systemic vascular resistance index (TSVRi), shock index, and shock phenotype were derived fo..View full abstract
Awarded by Paediatric Emergency Medicine