Ten concerns about blood pressure measurement and targets in paediatric sepsis

Lyttle, Mark D.; Marlais, Matko; Lyttle, Mark; Inwald, David

Abstract

Current paediatric sepsis guidelines suggest that resuscitation is titrated against clinical markers of hypovolaemia and end organ perfusion [1], including blood pressure (BP), heart rate and capillary refill time (CRT). BP is used both as a defining feature of shock and as a target for therapy. This paper will focus on the measurement of BP, the definition of hypotension and on the target BP for therapy in children with sepsis.

• Journal Article Type: Article
• Acceptance Date: Dec 1, 2016
• Online Publication Date: Dec 18, 2016
• Publication Date: Mar 1, 2017
• Deposit Date: May 4, 2017
• Publicly Available Date: Jan 31, 2018
• Journal: Intensive Care Medicine
• Print ISSN: 0342-4642
• Electronic ISSN: 1432-1238
• Publisher: Springer (part of Springer Nature)
• Peer Reviewed: Peer Reviewed
• Volume: 43
• Issue: 3
• Pages: 433-435
• DOI: https://doi.org/10.1007/s00134-016-4642-7
• Keywords: blood pressure, children, hypotension
• Public URL: https://uwe-repository.worktribe.com/output/913198
• Publisher URL: http://dx.doi.org/10.1007/s00134-016-4642-7
• Additional Information: Additional Information : This is the peer reviewed version of the following article: Marlais, M., Lyttle, M. and Inwald, D. (2016) Ten concerns about blood pressure measurement and targets in paediatric sepsis. Intensive care medicine, 43 (3). pp. 433-435. ISSN 0342-4642 Available from: http://eprints.uwe.ac.uk/31728, which has been published in final form at http://dx.doi.org/10.1007/s00134-016-4642-7. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
• Contract Date: May 4, 2017