Publications by authors named "Adriana F C Gottschald"
Time- and fluid-sensitive resuscitation for hemodynamic support of children in septic shock: barriers to the implementation of the American College of Critical Care Medicine/Pediatric Advanced Life Support Guidelines in a pediatric intensive care unit in a developing world.
Cláudio F Oliveira Flávio R Nogueira de Sá Débora S F Oliveira Adriana F C Gottschald Juliana D G Moura
Pediatr Emerg Care
December 2008
Article Synopsis
- The study focused on analyzing children's mortality rates due to severe sepsis and septic shock, emphasizing the importance of timely fluid resuscitation and adherence to guidelines.
- Results showed a significant link between early, adequate fluid resuscitation and lower mortality rates, highlighting the critical nature of immediate treatment post-diagnosis.
- Barriers to implementing effective treatment included challenges like inadequate vascular access, failure to recognize shock early, limited healthcare staffing, and lack of treatment protocols.
Introduction: The ACCM/PALS guidelines address early correction of paediatric septic shock using conventional measures. In the evolution of these recommendations, indirect measures of the balance between systemic oxygen delivery and demands using central venous or superior vena cava oxygen saturation (ScvO(2) > or = 70%) in a goal-directed approach have been added. However, while these additional goal-directed endpoints are based on evidence-based adult studies, the extrapolation to the paediatric patient remains unvalidated.
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