Jaweria Razzaque, Nazir Muhammad, Muhammad Haroon Hamid.
Frequency of need for Mechanical Ventilation and Dialysis in Children with Septic Shock..
J Pak Med Assoc Jan ;70(11):2057-60.

To determine the frequency of need for mechanical ventilation and dialysis in children admitted with septic shock to the Paediatric Intensive Care Unit (PICU), this descriptive case series was conducted from August 2015 to February 2016. A total of 100 children from 1 month to 15 years of age of both sexes having septic shock diagnosed within 24 hours of admission were enrolled from the PICU of Children's Hospital Lahore after informed consent from parents of the patients. The standard guideline for the treatment of septic shock was followed. Patients were followed throughout the stay in the hospital to assess the need for mechanical ventilation or the need for dialysis. Arterial blood gases and urea, creatinine were assessed daily or more frequently (if needed) till discharge or death. Of the 100 patients recruited in the study, with a mean age of 2.16±3.26 years, 63 (63 %) were male while 37 (37%) were females. The frequency of need for mechanical ventilation was recorded in 75 (75%) while 22 (22%) required dialysis. We concluded that the frequency of dialysis in children admitted to PICU with septic shock is significantly lower as compared to frequency of mechanical ventilation.

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