KHẢO SÁT THỰC HÀNH CỦA BÁC SĨ VỀ CÁC KỸ THUẬT HỒI SỨC CẤP CỨU TRONG ĐIỀU TRỊ SỐC NHIỄM KHUẨN TRẺ EM

Abstract

Introduction: Survey on the practice of emergency resuscitation techniques in the treatment of septic shock by physicians in Vietnam. Method: This was a descriptive cross-sectional survey conducted among physicians regarding the application of emergency resuscitation techniques in the management of pediatric septic shock, following the guidelines of the Surviving Sepsis Campaign (SSC) 2020. Data were collected through a pre-designed questionnaire. Results: From May 2024 to June 2024, the study collected responses from 219 physicians, including 15 general practitioners (6.8%) and 204 pediatricians (93.2%), with 70.3% having more than 5 years of experience. The rate of vasopressor use after the initial fluid bolus was 28.8%. Among the participants, 33.8% of physicians had not performed central venous catheter (CVC) insertion, 45.2% had not measured central venous pressure (CVP), and 23.7% had not used ultrasound for hemodynamic assessment in septic shock. Moreover, 23.3% of physicians had not used invasive arterial blood pressure measurement. In the multivariable model, factors associated with treatment techniques based on recommendations related to improving blood lactate levels in septic shock included pediatric intensive care physicians, the use of ultrasound for hemodynamic assessment, and the use of vasopressors after the initial fluid bolus, with odds ratios (OR) of 2.84, 4.17, and 6.29. Conclusions: This study provides an overview of the application of emergency resuscitation techniques in the management of pediatric septic shock. These findings are valuable in supporting the need for enhanced training in the use of ultrasound for hemodynamic assessment in hospitals