Fluid resuscitation strategy for pediatric septic shock
10.3760/cma.j.issn.1673-4912.2025.01.002
- VernacularTitle:脓毒性休克患儿的液体复苏策略
- Author:
Ping JIN
1
;
Feng XU
Author Information
1. 香港中文大学妇女儿童医学中心（深圳）PICU518100
- Publication Type:Journal Article
- Keywords:
Septic shock;
Pediatric;
Fluid resuscitation
- From:
Chinese Pediatric Emergency Medicine
2025;32(1):8-12
- CountryChina
- Language:Chinese
-
Abstract:
The initial fluid resuscitation strategies for septic shock are determined based on the availability of intensive care facilities.Balanced/buffered crystalloids are the preferred choice for the initial resuscitation of children with septic shock.The principles of volume management,known as SRT(State,Responsiveness,Tolerance),optimize fluid management and avoid fluid overload.Early initiation of vasoactive agents during resuscitation can offer multiple benefits,with epinephrine and norepinephrine serving as the first-line vasoactive infusions.The ROSE(Resuscitation,Optimization,Stabilization,Evacuation) conceptual model summarizes accurately a dynamic approach to fluid therapy,maximizing benefits and minimizing harms.Point-of-care critical ultrasound combined with other hemodynamic monitoring parameters offers the possibility of individualized treatment of children with septic shock.
