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276903

Hemodynamic Changes during Sepsis among Pediatrics: Review Article

Article

Last updated: 03 Jan 2025

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Abstract

Background: Peripheral dilatation and shunting between arteries and capillaries characterize the circulatory maldistribution known as septic distributive shock. Yet, there are both hyperdynamic (warm) and hypodynamic (cool) forms of septic shock. Objective: The aim of the current study is to assess the hemodynamic changes during sepsis among pediatric population. Methodology: We searched PubMed, Science Direct and Google Scholar for information on “Hemodynamic Changes with Sepsis". However, only the most current or comprehensive study from January 2010 to May 2022 was considered. The authors also assessed references from pertinent literature. Documents in languages other than English have been disregarded since there aren't enough resources for translation. Unpublished manuscripts, oral presentations, conference abstracts, and dissertations were examples of papers that weren't considered to be serious scientific research. Results: Despite a high Left ventricular ejection fraction (LVEF; typically >55%), stroke volume is reduced in the early stages of sepsis due to inadequate cardiac preload brought on by increased vascular permeability and vasodilation. Even though left ventricular (LV) systolic dysfunction is common in septic patients, it may be reversible in survivors. Those who die from sepsis have a lower left ventricular end-diastolic volume (LVEDV) than those who do, even if they receive more fluids than those who do later in the disease. Conclusion: Our result is in keeping with the hypothesis of a continuing preload deficit. Some studies have found an association between sepsis and cardiac depression, with survivors having a higher prevalence of cardiac depression than no survivors.  

DOI

10.21608/ejhm.2022.276903

Keywords

Sepsis, Hemodynamic changes, Left ventricular end-diastolic volume

Authors

First Name

Aya Elewa

Last Name

Abdelhamid

MiddleName

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Affiliation

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Email

ayarawy778@gmail.com

City

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Orcid

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First Name

Mohammed Mahmoud

Last Name

Romih

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Alaa Elsayed

Last Name

Nafae

MiddleName

-

Affiliation

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Email

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City

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Orcid

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Volume

89

Article Issue

2

Related Issue

37472

Issue Date

2022-10-01

Receive Date

2022-12-29

Publish Date

2022-10-01

Page Start

7,696

Page End

7,700

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_276903.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=276903

Order

237

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Hemodynamic Changes during Sepsis among Pediatrics: Review Article

Details

Type

Article

Created At

22 Jan 2023