Shock can be due to a variety of etiologies and is encountered frequently in the Emergency Department, Operating Room, and Pediatric Intensive Care Unit. Parameters of vital signs such as blood pressure, respiratory and heart rates, quality of perfusion, and mental status are frequently incorporated in descriptions of shock. However, the best unifying definition is an acute state of circulatory dysfunction that results in the inability to meet tissue metabolic demands. When dealing with a child in shock, this concept will help guide the evaluation, assessment, and treatment. Of equal importance in treating the patient with shock is time. A rapid evaluation, assessment, and treatment, especially when dealing with hypovolemic or septic shock, are paramount to a favorable outcome.


Septic Shock Mean Arterial Pressure Central Venous Pressure Pediatric Intensive Care Unit Oxygen Delivery 

Suggested Reading

  1. Brierley J, Carcillo JA, Choong K, et al. Clinical practice parameters for hemodynamic support of pediatric and neonatal septic shock: 2007 update from the American College of Critical Care Medicine. Crit Care Med. 2009;37(2):666–88.CrossRefPubMedGoogle Scholar
  2. Ceneviva G, Paschall JA, Maffei F, Carcillo JA. Hemodynamic support in fluid-refractory pediatric septic shock. Pediatrics. 1998;102(2):e19.CrossRefPubMedGoogle Scholar
  3. Dellinger RP, Levy MM, Carlet JM, et al. Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2008. Intensive Care Med. 2008;34(1):17–60.CrossRefPubMedGoogle Scholar
  4. Han YY, Carcillo JA, Dragotta MA, et al. Early reversal of pediatric-neonatal septic shock by community physicians is associated with improved outcome. Pediatrics. 2003;112(4):793–9.CrossRefPubMedGoogle Scholar
  5. Perkin RM, Levin DL. Shock in the pediatric patient. Part I. J Pediatr. 1982;101(2):163–9.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Anesthesiology and Critical Care MedicineChildren’s Hospital of PhiladelphiaPhiladelphiaUSA

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