TO STUDY OUTCOME OF FLUID BOLUS IN MECHANICALLY VENTILATED CRITICALLY ILL CHILDREN

Abstract

Introduction: In paediatric intensive care medicine, proper uid management in critically sick children who are mechanically ventilated continues to be a signicant issue and a hotly debated subject. However, there is currently no global agreement on uid management or removal techniques. A growing body of research demonstrates that excessive uid administration to critically ill patients beyond the resuscitation period is linked to negative outcomes. This study was done to assess the sodium and bicarbonate Objectives: levels in mechanically ventilated critically ill children and the effect of normal saline uid resuscitation. This is a retrospect Materials And Methods: ive study done in the PICU of a tertiary care centre. A total of 10 children admitted who required ventilation and uid resuscitation were studied. Many of the admitted children had Results: electrolyte imbalance at admission. The existence of electrolyte imbalance at admission, however, is the best predictor of mortality because such abnormalities aggravate the course of illness, regardless of the fundamental disease process. Regardless of the original illness Conclusion: process, the presence of electrolyte imbalance at the time of admission is a key prognostic signal in critically unwell children and has to be quickly treated as it may actively affect the child's fate and length of hospital stay.