Introduction: Septic shock is a complication of sepsis leading to circulatory and metabolic abnormalities. Cardiac ultrasound allows the assessment of vascular filling by measuring the diameter of the IVC (inferior vena cava) and detecting myocardial dysfunction. Objective: To assess the contribution of IVC ultrasound in the management of septic shock in children in the pediatric department of CHU-MEL. Methods: This was a prospective, descriptive, and analytical study conducted over a period of four months (February 2 to May 31, 2024). Results: The prevalence of septic shock was 4.9%. The most affected age group was infants under 12 months (62.5%). The most significant failures were renal (78.1%) and neurological (71.9%). The total amount of fluids administered with vascular filling monitoring by IVC ultrasound varied from 0 to 65ml/kg. It was adapted to each child based on IVC dilation. The vasoactive drug of choice was norepinephrine. Shock resolution was achieved in 31.3%. The mortality rate was 84.4%. Conclusion: IVC ultrasound helped avoid both hypovolemia and harmful excessive fluid administration by adapting the amount of fluids to each child based on their IVC diameter. Adequate training in bedside echocardiography would allow pediatricians to improve the hemodynamic management of septic shock in children.
| Published in | American Journal of Pediatrics (Volume 11, Issue 1) |
| DOI | 10.11648/j.ajp.20251101.14 |
| Page(s) | 26-29 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2025. Published by Science Publishing Group |
Septic Shock, Vascular Filling, Inferior Vena Cava, Echocardiography
| [1] | Rudd KE, Johnson SC, Agesa KM, et al. Global, regional, and national sepsis incidence and mortality, 1990–2017: analysis for the Global Burden of Disease Study. The Lancet. 2020; 395(10219): 200-211. |
| [2] | Young Ran Lee, Pharm D, Taryn B, et al. Sepsis management. CCSAP. 2019. |
| [3] | Ranjit S, Kissoon N. Bedside echocardiography is useful in assessing children with fluid and inotrope resistant septic shock. Indian J Crit Care Med. 2013; 17(4): 224‑30. |
| [4] | Kaiser RS, Sarkar M, Raut SK, et al. A Study to Compare Ultrasound-guided and Clinically Guided Fluid Management in Children with Septic Shock. Indian J Crit Care Med. 2023; 27(2): 139‑46. |
| [5] | Akodjenou J, Mewanou S, Ahounou E et al. Fréquence et prise en charge du choc septique en réanimation dans un pays à ressources limitées : cas du Centre National Hospitalier et Universitaire Hubert Koutoukou Maga (CNHU-HKM) de Cotonou. Journal de la Société Biologie Clinique Benin. 2021; 37: 41‑48. |
| [6] | Manu KN. Choc septique en réanimation du CHU Gabriel Touré de Médecine et d’OdontoStomatologie. 2015: 83 p. |
| [7] | Munoz M. Choc septique : incidence, mortalité et taux de réhospitalisation dans les réanimations Françaises, une étude de cohorte nationale. 2021: 32p. |
| [8] | Watson RS, Carcillo JA, Linde-Zwirble WT, et al. The epidemiology of severe sepsis in children in the United States. Am J Respir Crit Care Med. 2003; 167(5): 695‑701. |
| [9] | Vergnaud E, Sylvestre JB, Orliaguet G. Choc septique chez l’enfant. Anesth Réanimation. 2022; 8(5): 506‑11. |
| [10] | Ortíz G, Dueñas C, Rodríguez F. Épidémiologie de la septicémie dans les unités de soins intensifs colombiennes. Biomedica. 2014; 34(1): 40-7. |
| [11] | Dossou Togbe L. Aspects épidémiologiques, diagnostiques, thérapeutiques et évolutifs du sepsis dans le service de pédiatrie du centre hospitalier et universitaire de la mère et de l’enfant lagune (CHUMEL) [Mémoire de DES de pédiatrie. Cotonou: Faculté des sciences de la santé; 2022. |
APA Style
Joseph, A., Annatou, Y., Carine, D., Jules, A., Eugène, Z. (2025). Contribution of Inferior Vena Cava Ultrasound Monitoring in the Management of Septic Shock in Children at the CHU-MEL. American Journal of Pediatrics, 11(1), 26-29. https://doi.org/10.11648/j.ajp.20251101.14
ACS Style
Joseph, A.; Annatou, Y.; Carine, D.; Jules, A.; Eugène, Z. Contribution of Inferior Vena Cava Ultrasound Monitoring in the Management of Septic Shock in Children at the CHU-MEL. Am. J. Pediatr. 2025, 11(1), 26-29. doi: 10.11648/j.ajp.20251101.14
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ajp.20251101.14,
author = {Akodjenou Joseph and Yakoubou Annatou and Dadjo Carine and Alao Jules and Zoumenou Eugène},
title = {Contribution of Inferior Vena Cava Ultrasound Monitoring in the Management of Septic Shock in Children at the CHU-MEL
},
journal = {American Journal of Pediatrics},
volume = {11},
number = {1},
pages = {26-29},
doi = {10.11648/j.ajp.20251101.14},
url = {https://doi.org/10.11648/j.ajp.20251101.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20251101.14},
abstract = {Introduction: Septic shock is a complication of sepsis leading to circulatory and metabolic abnormalities. Cardiac ultrasound allows the assessment of vascular filling by measuring the diameter of the IVC (inferior vena cava) and detecting myocardial dysfunction. Objective: To assess the contribution of IVC ultrasound in the management of septic shock in children in the pediatric department of CHU-MEL. Methods: This was a prospective, descriptive, and analytical study conducted over a period of four months (February 2 to May 31, 2024). Results: The prevalence of septic shock was 4.9%. The most affected age group was infants under 12 months (62.5%). The most significant failures were renal (78.1%) and neurological (71.9%). The total amount of fluids administered with vascular filling monitoring by IVC ultrasound varied from 0 to 65ml/kg. It was adapted to each child based on IVC dilation. The vasoactive drug of choice was norepinephrine. Shock resolution was achieved in 31.3%. The mortality rate was 84.4%. Conclusion: IVC ultrasound helped avoid both hypovolemia and harmful excessive fluid administration by adapting the amount of fluids to each child based on their IVC diameter. Adequate training in bedside echocardiography would allow pediatricians to improve the hemodynamic management of septic shock in children.
},
year = {2025}
}
TY - JOUR T1 - Contribution of Inferior Vena Cava Ultrasound Monitoring in the Management of Septic Shock in Children at the CHU-MEL AU - Akodjenou Joseph AU - Yakoubou Annatou AU - Dadjo Carine AU - Alao Jules AU - Zoumenou Eugène Y1 - 2025/02/26 PY - 2025 N1 - https://doi.org/10.11648/j.ajp.20251101.14 DO - 10.11648/j.ajp.20251101.14 T2 - American Journal of Pediatrics JF - American Journal of Pediatrics JO - American Journal of Pediatrics SP - 26 EP - 29 PB - Science Publishing Group SN - 2472-0909 UR - https://doi.org/10.11648/j.ajp.20251101.14 AB - Introduction: Septic shock is a complication of sepsis leading to circulatory and metabolic abnormalities. Cardiac ultrasound allows the assessment of vascular filling by measuring the diameter of the IVC (inferior vena cava) and detecting myocardial dysfunction. Objective: To assess the contribution of IVC ultrasound in the management of septic shock in children in the pediatric department of CHU-MEL. Methods: This was a prospective, descriptive, and analytical study conducted over a period of four months (February 2 to May 31, 2024). Results: The prevalence of septic shock was 4.9%. The most affected age group was infants under 12 months (62.5%). The most significant failures were renal (78.1%) and neurological (71.9%). The total amount of fluids administered with vascular filling monitoring by IVC ultrasound varied from 0 to 65ml/kg. It was adapted to each child based on IVC dilation. The vasoactive drug of choice was norepinephrine. Shock resolution was achieved in 31.3%. The mortality rate was 84.4%. Conclusion: IVC ultrasound helped avoid both hypovolemia and harmful excessive fluid administration by adapting the amount of fluids to each child based on their IVC diameter. Adequate training in bedside echocardiography would allow pediatricians to improve the hemodynamic management of septic shock in children. VL - 11 IS - 1 ER -
Intensive Care Unit, Mother and Child Hospital and University Center – Lagune, Cotonou, Benin
Information