Background: Shock is one of the most commonly found conditions and causes high mortality rates in PICU. Macro-circulation and microcirculation hemodynamic monitoring is performed to know the degree of severity of the shock, to determine the treatment to be given, and to evaluate the previous treatments given. Objective: This study aims to determine the hemodynamic disturbances profile of pediatric patients in PICU of Dr. Soetomo General Hospital Surabaya in the period of 1st September 2021-31st May 2022.  Methods: This study was an observational cross-sectional study. The data obtained were processed and analyzed using Microsoft Excel. Results: A total of 32 samples met the inclusion and exclusion criteria. The majority of the patients in this study (84,38%) suffered from septic shock. The macro-circulation hemodynamic measurements, the majority of the patients had normal blood pressure (53,13%), inadequate stroke volume (75%), tachycardia (78,13%), normal cardiac output (59,38%), normal SVR (68,75%), and inadequate DO2 (53,13%). In the microcirculation hemodynamic measurement, the majority of the patients had alactatemia (65,63%). Conclusion: The measurements of several hemodynamic parameters in majority of the pediatric shock patients showed the abnormality related to the shock condition, whereas the other parameters were in their normal ranges as the result of the early resuscitations given before the PICU administrations.