How do we calculate the pediatric SOFA score if a child is on only milrinone? As per BP cut-offs or equivalent to dobutamine? Has there been any update in the score to account for milrinone/vasopressin?
give score 4 as for MAP as you will are givinging milirinone to correct catecholamines resistance shock ..
You can use online p sofa calculator
This particular child presented with viral myocarditis with HFrEF which was non-responsive to dobutamine. Milrinone was added and dobutamine was tapered and stopped. With inotropic support, BP was maintained between 5-50th centile. In your opinion, what score should be given to this patient? Should it still be 4 as this does not fit into catecholamine-resistant shock as per the ACCCM algorithm?
Could you please share the link to the online pediatric SOFA calculator that takes milrinone into consideration?
Try with this:
https://medicalcriteria.com/web/psofa/
Pediatric SOFA score. BTW, did you try calculate the Vasoactive Inotropic Score (VIS)?
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