Primary management and treatment of paediatric septic shock
Kneyber, M.C.J.; van Heerde, M.; Henneveld, H.T.
Nederlands Tijdschrift Voor Geneeskunde 154: A1195
2010
ISSN/ISBN: 1876-8784 PMID: 20298629 Document Number: 644521
Paediatric shock is common. Hypovolaemic and septic shock are the main forms. Early and rapid results-oriented therapy of paediatric septic shock has a favourable effect on survival. There is an international guideline for the primary management of paediatric shock during the first hour after presentation of the patient. The goal of treatment is to prevent oxygen debt and consequently organ failure. The main symptoms of paediatric shock are tachycardia and reduced consciousness. In a child in shock, the clinical picture should be recognized within 15 minutes and an attempt should be made to reverse the situation by rapid fluid infusion. If the shock persists after 15 minutes, vasoactive medication should be given and the child should be transferred to a local paediatric intensive care unit. Intubation and mechanical ventilation are then also required.