Early resuscitation in paediatric sepsis

A randomised controlled pilot study

Grant ID: EMPJ-207R29-2018

Project Summary

Sepsis is a leading cause of death and disability in children, globally accounting for more than one million childhood deaths per year. Recommended sepsis treatment currently consists of intravenous antibiotics and aggressive fluid boluses followed by inotropes and consideration for intravenous steroids. However, the evidence for interventions other than antibiotics is limited and aggressive fluid administration may be associated with harm. Therefore, fluid-sparing algorithms using early inotropes to treat shock have been proposed. Another strategy to hasten shock resolution consists in intravenous steroids, alone or in combination with thiamine and vitamin C, postulated to support metabolic dysfunction in recent studies.

In this project, the research team is conducting a randomised controlled pilot trial in children presenting with septic shock. They are assessing the feasibility of a fluid-sparing algorithm using early inotropes and early intravenous administration of Vitamin C, Thiamine and Hydrocortisone and the impact on survival free of organ dysfunction.

Leveraged Funds

- Gold Coast Health and Gold Coast Hospital Foundation: $99,860 [Bell C, Harley A, King M, Schlapbach L, George S, Keijzers G, Gibbons K, Lister P, Bellomo R, Schibler A. (2018). Rapid resuscitation in paediatric sepsis: A randomised controlled study to reduce morbidity and mortality due to sepsis in children. ]



Amount Awarded


Grant Scheme


Principal Investigator:
Dr Megan King

Co Investigators:
A/Prof Luregn Schlapbach
Dr Shane George
A/Prof Andreas Schibler
Dr Elliot Long
Ms Amanda Harley
Prof Brenda Gannon
Prof Rinaldo Bellomo

Associate Investigators:
Dr Paula Lister
Dr Arjun Chavan
Dr Sandi Dawson
A/Prof Kirsten Gibbons
Dr Vinay Gangathimmaiah
A/Prof Franz Babl


Collaborating Institutions

CONTACT US +61 7 3720 5700 info@emfoundation.org.au Suite 1B, Terraces, 19 Lang Parade, Milton Qld 4064