Ignite Creation Date:
2024-05-06 @ 6:45 PM
Last Modification Date:
2024-10-26 @ 2:54 PM
Study NCT ID:
NCT05778175
Status:
NOT_YET_RECRUITING
Last Update Posted:
2023-03-21
First Post:
2023-03-05
Brief Title:
Common Cases in Pediatric Intensive Care in Assuit University Cardiology Institute a Clinical Audit
Sponsor:
Assiut University
Organization:
Assiut University
Study Overview
Official Title:
Common Cases in Pediatric Intensive Care in Assuit University Cardiology Institute a Clinical Audit
Status:
NOT_YET_RECRUITING
Status Verified Date:
2023-03
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
1Evaluation of the management methods according to guidelines for cardiac patients admitted to Intensive care in pediatric Assuit university cardiology institute and the effectiveness and outcome of following of these medications comparing them with international advanced centers
Types of shocks in cardiac patients and management of cardiogenic shock needs especial concern
Types of shocks in cardiac patients and management of cardiogenic shock needs especial concern
Detailed Description:
Critically ill pediatric patients with cardiac disease such as cardiogenic Shock life- threatening arrhythmias congenital heart diseases with unstable cardiorespiratory status uncompensated heart failure after cardiac catheterization and after high risk cardiovascular and intrathoracic procedures must be admitted to a designated intensive care unit and not discharged untill reversal of the disease process or restoration of the unstable physiologic condition and become hemodynamically stable cardiac dysrhythmias controlled and theres no need for intravenous inotropic support vasodilators and antiarrhythmic drugs or when required low doses of these medications can be administered safely
Physicians nurses and other health care providers should perform a regular review of their clinical practice and the activities which carried out relying on established standards and the main purpose of this revision process is to evaluate the efficacy effectiveness and safety of the provided medical care
Because the number of patients with critical heart diseases is relatively small there are big knowledge gaps and variation in the methods of management Presence of a specific Pediatric Cardiac Intensive Care led to correction of this knowledge gap and providing clinicians with Scientific statements and white papers used as a guidance in diagnostic and therapeutic strategies aiming to changing the individual institution-based practices efforts to national standardized protocols which results in a better outcome
Presence of a specific cardiac intensive care unit CICU with highly specialized teams with specific knowledge and skills leads to direction of many investigations to provide the highest value care This has many advantages on the outcome of the admitted patients such as lower hospital costs shorter duration of hospital stay and decrease mortality rate
A case of special concern is cardiogenic shock which is an acute state of circulatory failure due to impairment of myocardial contractility and its the most serious stage of heart failure and a major cause of morbidity and mortality in pediatric cardiac patients it must be recognized and managed early and any delay in the recognition and management of potential clinical symptoms and signs of compensated shock could lead to a high mortality rate
Recognition of early signs of cardiogenic shock by clinical examination tachycardia hypotension impaired conscious level fall in oxygen saturation decreased urine output and respiratory distress or investigations like as chest x-ray cardiomegaly pulmonary edema ECG arrhythmias conduction disorders myocardial ischemiaand transthoracic echocardiograms are useful for diagnostic etiological therapeutic and prognostic purposes
Initial management of the cardiogenic shock aiming to restore adequate oxygen delivery to peripheral tissues by oxygen therapy noninvasive or invasive ventilation with a saturation objective of 95 except in cyanotic heart decrease the circulatory preload by fluid restriction and diuretics decrease the circulatory afterload by arterial vasodilators increase the cardiac contractility by inotropes dopamine dobutamine and digoxin and treating curable causes fluid and electrolyte balance rhythm or thromboembolic disorders pneumothorax tamponade infection
Physicians nurses and other health care providers should perform a regular review of their clinical practice and the activities which carried out relying on established standards and the main purpose of this revision process is to evaluate the efficacy effectiveness and safety of the provided medical care
Because the number of patients with critical heart diseases is relatively small there are big knowledge gaps and variation in the methods of management Presence of a specific Pediatric Cardiac Intensive Care led to correction of this knowledge gap and providing clinicians with Scientific statements and white papers used as a guidance in diagnostic and therapeutic strategies aiming to changing the individual institution-based practices efforts to national standardized protocols which results in a better outcome
Presence of a specific cardiac intensive care unit CICU with highly specialized teams with specific knowledge and skills leads to direction of many investigations to provide the highest value care This has many advantages on the outcome of the admitted patients such as lower hospital costs shorter duration of hospital stay and decrease mortality rate
A case of special concern is cardiogenic shock which is an acute state of circulatory failure due to impairment of myocardial contractility and its the most serious stage of heart failure and a major cause of morbidity and mortality in pediatric cardiac patients it must be recognized and managed early and any delay in the recognition and management of potential clinical symptoms and signs of compensated shock could lead to a high mortality rate
Recognition of early signs of cardiogenic shock by clinical examination tachycardia hypotension impaired conscious level fall in oxygen saturation decreased urine output and respiratory distress or investigations like as chest x-ray cardiomegaly pulmonary edema ECG arrhythmias conduction disorders myocardial ischemiaand transthoracic echocardiograms are useful for diagnostic etiological therapeutic and prognostic purposes
Initial management of the cardiogenic shock aiming to restore adequate oxygen delivery to peripheral tissues by oxygen therapy noninvasive or invasive ventilation with a saturation objective of 95 except in cyanotic heart decrease the circulatory preload by fluid restriction and diuretics decrease the circulatory afterload by arterial vasodilators increase the cardiac contractility by inotropes dopamine dobutamine and digoxin and treating curable causes fluid and electrolyte balance rhythm or thromboembolic disorders pneumothorax tamponade infection
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None