The Diagnosis and Hemodynamic Monitoring of Circulatory Shock: Current and Future Trends
| Autor: | Adham Hendy, Serban-Ion Bubenek-Turconi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
new statements Fluid responsiveness Hemodynamics Review 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Internal medicine Intensive care medicine circulatory shock Intensive care medicine Clinical syndrome future trends hemodynamic shock business.industry transesophageal echocardiography RC86-88.9 030208 emergency & critical care medicine Medical emergencies. Critical care. Intensive care. First aid Blood pressure Shock (circulatory) Circulatory system Cardiology Invasive hemodynamic monitoring medicine.symptom business |
| Zdroj: | The Journal of Critical Care Medicine, Vol 2, Iss 3, Pp 115-123 (2016) |
| ISSN: | 2393-1817 |
| Popis: | Circulatory shock is a complex clinical syndrome encompassing a group of conditions that can arise from different etiologies and presented by several different hemodynamic patterns. If not corrected, cell dysfunction, irreversible multiple organ insufficiency, and death may occur. The four basic types of shock, hypovolemic, cardiogenic, obstructive and distributive, have features similar to that of hemodynamic shock. It is therefore essential, when monitoring hemodynamic shock, to making accurate clinical assessments which will guide and dictate appropriate management therapy. The European Society of Intensive Care has recently made recommendations for monitoring hemodynamic shock. The present paper discusses the issues raised in the new statements, including individualization of blood pressure targets, prediction of fluid responsiveness, and the use of echocardiography as the first means during the initial evaluation of circulatory shock. Also, the place of more invasive hemodynamic monitoring techniques and future trends in hemodynamic and metabolic monitoring in circulatory shock, will be debated. |
| Databáze: | OpenAIRE |
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