Background: The most frequent causes of outpatient department visits in underdeveloped countries are infections and fever. The main reason for hospital deaths is severe sepsis. Serious sepsis and septic shock cause 50% of fatalities. Within the initial 24 hours after the beginning of septic shock, deaths happen. Aim:In this study, the serial inferior vena cava (IVC) dimension in children with septic shock was examined, as well as its link to a clinical cardiopulmonary-cerebral examination. Methods: Children with septic shock who were revived in the emergency room were the subject of prospective observational research. Participants ranged in age from 1 month to 12 years. Serial ultrasonography measurements of the IVC/aorta ratio were performed before and after the administration of each 10 ml/kg fluid bolus over the course of 20 minutes. Chi-square tests were used to establish whether or not the statistical differences between assessing fluid status using clinical measurements and assessing fluid status after fluid boluses were really significant. Results:The final analysis comprised 100 patients that were enrolled. Following fluid boluses, there were substantial relationships between blood pressure, capillary refill time, pulse volume, heart rate, and IVC/aorta ratio that were significant (P 0.05) throughout several evaluations. Conclusions:Clinical evaluation and volume status were statistically substantially correlated with IVC/aorta ratio. IVC/aorta ratio analysis alone did not seem to be helpful. Serial IVC/aorta ratio measures proved statistically significant in assessing the fluid status of children with septic shock during resuscitation in the emergency department.

Septic Shock, Inferior Vena Cava, Cardiopulmonary