A Thai guideline summary in management of pediatric septic shock

Thai pediatric septic shock guideline

Authors

  • Rujipat Samransamruajkit Division of Pediatric Pulmonology and Critical care, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand, 10330
  • Kantara Saelim Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand, 90110
  • Rattapon Uppala Division of Pediatric Pulmonology and Critical care, Department of Pediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand, 40000
  • Chanapai Chaiyakulsil Division of Pediatric Critical Care, Department of Pediatrics, Thammasat University Hospital, Faculty of Medicine, Thammasat University, Pathumthani, Thailand, 10120
  • Bandarn Suetrong Division of Pediatric Critical Care, Department of Pediatrics, Thammasat University Hospital, Faculty of Medicine, Thammasat University, Pathumthani, Thailand, 10120
  • Lalida Kongkiattikul Division of Pediatric Pulmonology and Critical care, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand, 10330
  • Sirawut Trepatchayakorn Division of Pediatric Pulmonology and Critical care, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand, 10330
  • Suvikrom Law Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand, 10700
  • Sarocha Itdhi-amornkulchai Ramathibodi Medical School, Chakri Naruebodindra Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Samut Prakan, Thailand, 10540
  • Chalermthai Aksilp Pediatric Pulmonology and Critical Care Division, Department of Pediatrics, Queen Sirikit National Institute of Child Health, Bangkok, Thailand, 10400
  • Nattachai Anantasit Division of Pediatric Critical Care Medicine, Department of Pediatrics, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand, 10400

DOI:

https://doi.org/10.54205/ccc.v32.266195

Keywords:

Pediatric, Septic shock, Thai guideline, Management

Abstract

Sepsis-associated organ dysfunction, particularly septic shock, is a prevalent critical illness characterized by increased morbidity and mortality, particularly in children. Recognizing the imperative to enhance outcomes, a septic shock guideline tailored for pediatric patients was formulated. This guideline strives to establish an evidence-based framework for the effective management of septic shock and sepsis-associated organ dysfunction in Thai children. Key components encompass the prompt identification and stabilization of patients, meticulous titration of fluids and vasoactive agents, initiation of empirical antimicrobial therapy, judicious infectious source control, respiratory support, administration of sedation and analgesia, blood and blood product transfusion, correction of electrolyte imbalances, management of metabolic derangements, renal replacement therapy, and the implementation of multimodal monitoring. The objective is to optimize management, achieving therapeutic goals while continuously reassessing the patient's condition. Additionally, this guideline demonstrates adaptability by tailoring its suggestions to the resources available in Thailand’s medical facilities. Recognizing the diverse capabilities of healthcare institutions, the guideline endeavors to ensure its implementation is practical and feasible. 

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Published

2024-04-05

How to Cite

1.
Samransamruajkit R, Saelim K, Uppala R, Chaiyakulsil C, Suetrong B, Kongkiattikul L, Trepatchayakorn S, Law S, Itdhi-amornkulchai S, Aksilp C, Anantasit N. A Thai guideline summary in management of pediatric septic shock : Thai pediatric septic shock guideline . Clin Crit Care [Internet]. 2024 Apr. 5 [cited 2024 Jun. 14];32(1):e240008. Available from: https://he02.tci-thaijo.org/index.php/ccc/article/view/266195

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Guidelines