Volume 25, Issue 109, March, 2021

Hemodynamic monitoring in critically ill patients in paediatric ICU

Tarek Ahmed Abdelgawad¹, Sondos Mohamed Magdy¹, Marwa Waheed Abd Elhady Nassef², Beshoy Attaallah Ebrahim^1♦

¹Pediatric intensive care unit, Department of Pediatric, Faculty of Medicine, Ain Shams University, Cairo, Egypt
²Pediatric cardiology unit, Department of Pediatrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt

^♦Corresponding author
Pediatric intensive care unit, Department of Pediatric, Faculty of Medicine, Ain Shams University, Cairo, Egypt; Email: beshoyattaallah@gmail.com

ABSTRACT

Objectives: Monitoring hemodynamics in septic shock is very challenging issue in all septic patients in pediatric intensive care units and to choose the most appropriate vasoactive drug. Aim of our study was to monitor hemodynamics and compare the effects of dopamine, nor-epinephrine and epinephrine. Methods: Sixty patients were divided into three groups according to vasoactive drug used either dopamine, adrenaline or noradrenaline and subjected to measure cardiac functions by echocardiography. Results: Adrenaline was the most powerful drug affecting cardiac function and improving cardiac index (CI) on the other side noradrenaline was the most potent affecting blood pressure. Conclusion: The use of echocardiography can help to choose and escalating vasoactive drug in septic shock.

Keywords: hemodynamics, septic shock, vaosactive drug, dopamine, epinephrine, nor-epinephrine, echocardiography, cardiac index

Medical Science, 2021, 25(109), 696-704

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