Introduction: In paediatric intensive care medicine, proper uid management in critically sick children who are mechanically ventilated continues
to be a signicant issue and a hotly debated subject. However, there is currently no global agreement on uid management or removal techniques. A
growing body of research demonstrates that excessive uid administration to critically ill patients beyond the resuscitation period is linked to
negative outcomes. This study was done to assess the sodium and bicarbonate Objectives: levels in mechanically ventilated critically ill children
and the effect of normal saline uid resuscitation. This is a retrospect Materials And Methods: ive study done in the PICU of a tertiary care centre.
A total of 10 children admitted who required ventilation and uid resuscitation were studied. Many of the admitted children had Results:
electrolyte imbalance at admission. The existence of electrolyte imbalance at admission, however, is the best predictor of mortality because such
abnormalities aggravate the course of illness, regardless of the fundamental disease process. Regardless of the original illness Conclusion:
process, the presence of electrolyte imbalance at the time of admission is a key prognostic signal in critically unwell children and has to be quickly
treated as it may actively affect the child's fate and length of hospital stay.
Introduction: Babies with a birth weight and/or length below the 10th percentile of a population of the same gestational age are dened small-forgestational-age (SGA). Children born prematurely or small for gestational age are at a higher risk of thyroid dysfunction. Intrauterine growth
retardation and the delivery of SGA infants may have a variety of reasons. This illness is characterised by several endocrine-metabolic changes and
pathophysiological processes. It has been shown that there are greater rates of diseases including cardiovascular events, metabolic syndrome,
hypertension, and obesity. These changes may also have an impact on future health in infancy and adulthood. There aren't many research that
compare the thyroid function of SGA and AGA neonates. For newborn plasma concentrations of T4 and TSH, contradictory ndings have been
reported. The study was conducted to observe the relationship that the weight and/ Objective: or the gestational age plays on the thyroid function of
the babies. This retrospective study was conducted in a tertiary care cent Materials And Methods: re. This study focused on the day 3 TSH, Ft4
value of the SGA babies compared with the AGA babies. Preterm and term Results: SGA babies had considerably lower blood T4 concentrations
and higher TSH values as compared to AGA neonates (P=0.0001). SGA babies had a hi Conclusion: gher incidence of transient hypothyroidism
and required accurate follow-up and close monitoring of thyroid function.
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