This narrative reviews strategies for recognizing and managing pediatric shock in low-middle-income countries, suggesting implications for better outcomes.
Key Points
The aim is to elucidate evidence-based approaches to manage pediatric shock in low-resource settings.
Conducted a non-systematic literature review from 1990 to 2025.
Searched databases like PubMed, Google Scholar, and WHO IRIS.
Analyzed clinical practice guidelines and implementation studies.
Focused on innovative interventions and strategies specifically for LMICs.
Early fluid resuscitation may increase mortality in children with shock; cautious use is recommended.
Epinephrine or norepinephrine are preferred over dopamine for vasoactive support.
Whole blood is used for hemorrhagic shock management due to shortages.
Integration of low-cost technologies shows promise in reducing mortality.