Advanced hemodynamic monitoring with EC, in conjunction with clinical assessment, facilitated a restrictive fluid strategy and reduced the incidence of FO.

By closely monitoring hemodynamic parameters and tailoring therapy accordingly, clinicians can adopt a personalized approach to fluid resuscitation and vasoactive therapy, thereby minimizing the risk of FO and organ dysfunction.

The findings of this study support the integration of noninvasive bedside tools such as EC into routine clinical practice for hemodynamic assessment and the management of pediatric septic shock.

One hundred nineteen children were enrolled in the study: 60 in group A and 59 in group B. There was a significantly higher requirement for resuscitation fluid volume (mean ± sd) within the initial 6 hours in the group A (30 ± 8.2 mL/kg) as compared with group B (22 ± 9.2 mL/kg).

Similarly, maintenance along with resuscitation fluid volume (mean ± sd) administration (56 ±13 vs. 46 ±10.7, p < 0.001) was higher in group A in the first 24 hours of enrollment. Vasoactive therapy initiation was earlier in group B as compared with group A (37 ± 10.14 vs. 47.33 ± 12.41 min) with lower fluid overload percentage (2.98% vs. 1.7%) in this group.

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