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Shock

  • Carla Braxton
  • J. Martin Perez

Summary

Shock, by definition, is a clinical syndrome that develops due to inadequate tissue perfusion. Hypoperfusion results in insufficient delivery of oxygen and nutrients for metabolism, leading to severe vital organ dysfunction. Untreated or undertreated shock may result in multiple organ failure and death. Patients enter into the shock state due to hypovolemia, trauma, sepsis, cardiac dysfunction, or severe neurologic compromise. The physician’s role in patient management is to ensure adequate hemodynamic support first (airway, breathing, circulation), followed by an aggressive search for the etiology of shock. With few exceptions, the first inotrope, the first pressor, should be fluid.

Keywords

Septic Shock Cardiogenic Shock Hemorrhagic Shock Pulmonary Artery Catheter Hypovolemic Shock 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Selected Readings

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Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  • Carla Braxton
    • 1
  • J. Martin Perez
    • 2
  1. 1.Department of SurgeryUniversity of Kansas HospitalKansas CityUSA
  2. 2.Department of SurgeryUniversity of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical SchoolNew BrunswickUSA

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