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RECRUITINGOBSERVATIONAL

Prediction of Fluid Responsiveness in Paediatric Patients With Septic Shock Using Carotid Doppler Ultrasonography and Echocardiography

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

The goal of this study is to evaluate the role of carotid Doppler and Echocardiography as a predictor of fluid responsiveness in paediatric patients with septic shock. and To evaluate the diagnostic accuracy of Aortic peak velocity and velocity time integral (VTI)variation in patients with septic shock during their fluid resuscitation phase as a reliable predictor of fluid responsiveness.

Who May Be Eligible (Plain English)

Inclusion criteria : - Children aged 1 month to 16 years. - Patients with septic shock admitted at the PICU during their fluid resuscitative phase were included.Septic shock was diagnosed according to phoenix sepsis score 2024 • Who Should NOT Join This Trial: - Acquired and congenital heart disease. - Acquired and congenital renal disease. - Vascular anomalies (e.g. arteriovenous malformation, aneurysm). - Suspected intracranial hypertension. - Skin lesions or bandages at the sites of ultrasound or echo-cardiography examinations. - Anatomical anomalies of the neck. Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language
Inclusion criteria : * Children aged 1 month to 16 years. * Patients with septic shock admitted at the PICU during their fluid resuscitative phase were included.Septic shock was diagnosed according to phoenix sepsis score 2024 • Exclusion criteria: * Acquired and congenital heart disease. * Acquired and congenital renal disease. * Vascular anomalies (e.g. arteriovenous malformation, aneurysm). * Suspected intracranial hypertension. * Skin lesions or bandages at the sites of ultrasound or echo-cardiography examinations. * Anatomical anomalies of the neck.

Treatments Being Tested

DIAGNOSTIC_TEST

echocardiography

Echocardiography will be performed using the ultrasound system echocardiographic equipment (Siemens Advanced Clinical Ultrasound Systems Optimized Navigation (ACUSON) P500), carotid doppler ultrasonography (Carotid blood flow and Corrected flow time) by using the ultrasound system echocardiographic equipment (Siemens ACUSON P500) . Those measurements will be done at time zero and upon completion of fluid resuscitation . • Statistical Analysis: All data will be collected, tabulated, and statistically analysed using International Business Machines\_Statistical Package for the Social Sciences (IBM SPSS) version 27.

Locations (1)

Ain shams university _faculty of medicine
Cairo, Egypt