Beyond Mean Arterial Pressure and Lactate: Perfusion End Points for Managing the Shocked Patient

Patients in shock present frequently to the emergency department. The emergency physician must be skilled in the resuscitation of both differentiated and undifferentiated shock. Early, aggressive resuscitation of patients in shock is essential, using macrocirculatory, microcirculatory, and clinical...

Full description

Saved in:
Bibliographic Details
Published inEmergency medicine clinics of North America Vol. 37; no. 3; p. 395
Main Authors Hallisey, Stephen D, Greenwood, John C
Format Journal Article
LanguageEnglish
Published United States 01.08.2019
Subjects
Acute Kidney Injury - diagnosis
Acute Kidney Injury - prevention & control
Arterial Pressure - physiology
Biomarkers
Blood Circulation - physiology
Carbon Dioxide - blood
Cardiac Output - physiology
Emergency Medicine
Homeostasis - physiology
Humans
Hypotension - prevention & control
Lactic Acid - blood
Oxygen - blood
Resuscitation
Sepsis - physiopathology
Shock - blood
Shock - therapy
Urine
Resuscitation end points
Lactate
Capillary refill time
Cardiogenic shock
Critical care
Sepsis
Resuscitation
Online AccessGet more information

Cover

More Information
Summary:Patients in shock present frequently to the emergency department. The emergency physician must be skilled in the resuscitation of both differentiated and undifferentiated shock. Early, aggressive resuscitation of patients in shock is essential, using macrocirculatory, microcirculatory, and clinical end points to guide interventions. Therapy should focus on the restoration of oxygen delivery to match tissue demand. This article reviews the evidence supporting common end points of resuscitation for common etiologies of shock and limitations to their use.
ISSN:1558-0539
DOI:10.1016/j.emc.2019.03.005