Indian Paediatrics & Critical Care

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📌 Cardiovascular System

Inotropic Support in Cold vs Warm Septic Shock

Cold Shock: Dopamine / Adrenaline first-line. Warm Shock: Noradrenaline first-line. Target ScvO2 > 70%, MAP-CVP > age-normal.

📌 Respiratory System

Paediatric ARDS (PARDS) Ventilation & OI Calculation

PALICC-2 Criteria: Oxygenation Index (OI) = (MAP x FiO2 x 100) / PaO2. Mild (OI 4-8), Moderate (OI 8-16), Severe (OI > 16). Low tidal volume 3-6 mL/kg, permissive hypercapnia.

📌 Nervous System

Status Epilepticus 5-Minute Emergency Protocol

0-5 min: Midazolam 0.2 mg/kg IN/IM. 5-10 min: Levetiracetam 60 mg/kg IV or Fosphenytoin 20 mg PE/kg. >20 min: Continuous infusion Midazolam / Propofol.