Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics

Background:The initial hemodynamic management for pediatric shocked patients was giving aggressive fluid resuscitation ,although thatfluid overload increases mortality and morbidity, So assessment and monitoring of fluid status is of great importance for critically ill patients to maintain hemodynamic stability. Electrical cardiometry has been proposed as a safe, easy, and accurate method for hemodynamic measurement and also can by used to monitor fluid responsiveness in critically ill patient. Objectives: To examine stroke volume variation(SVV), measured by electrical cardiometry as a predictor of fluid responsiveness in the management of shock state. Patients and methods: This was a cohort study based on data collected by observation of 60 shocked pediatric patients who received fluid therapy in the Intensive care units at Cairo University Pediatric Hospitals from July till December 2018. Results: SVV was highly significant in fluid non responders patient with (P<0.000) ,it was highly significant in patients who were discharged than those who died (p =0.002), it can be used as predictor of mortality with sensitivity of 80%, specificity of 75% ,it also can also used as predictor of volume responsiveness with sensitivity of 85%, specificity of 92%. Conclusion:Monitoring stroke volume variant (SVV), using electrical cadiometery can be used to guide fluid therapy in critically ill pediatric patients, with beneficial impact on morbidity and mortality

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