Profil Hemodinamik Anak dengan Sindrom Syok Dengue Berdasarkan Pemeriksaan Ultrasonic Cardiac Output Monitor

Background. Monitoring hemodynamic status clinically in dengue shock syndrome (DSS) cases in children is still challenging. Hemodynamic measurement with USCOM could be useful to measure real-time cardiac performance and hemodynamic status quantitatively. Hence, adequate intervention will be approached to decrease morbidity.Objective. To present hemodynamic profile of children with DSS quantitatively.Methods. A pilot study in 2016, measured hemodynamic status using USCOM. Data were obtained when diagnosis of DSS was confirmed at Sanglah Hospital Denpasar.Result. USCOM results of 69 subjects showed low mean cardiac index, systemic vascular index, cardiac contractility, and perfusion levels as 3.03 (±1.06) L/min/m2, 27.4 (±9.7) ml/m2, 0.92 (±0.27) m/s, and 474 (±188) ml/min respectively, with very high mean afterload level as 2,409 (±950) ds cm-5m2.Conclusion. Similar USCOM results were found in both compensated and decompensated DSS, with hypodynamic shock pattern. Awareness of complications that may occur based on these findings could help clinicians achieve better outcomes. Sari Pediatri2020;21(6):371-6Keywords: dengue shock syndrome, pediatric, USCOM, and hemodynamic monitoring