Critical Heart Failure and Shock

被引：6

作者：

Bronicki, Ronald A. ^{[1
]}

Taylor, Mary ^{[2
]}

Baden, Harris ^{[3
]}

机构：

[1] Texas Childrens Hosp, Baylor Coll Med, Dept Pediat Crit Care Med & Cardiol, Houston, TX 77030 USA

[2] Univ Mississippi, Med Ctr, Batson Childrens Hosp, Dept Pediat Crit Care Med & Cardiol, Jackson, MS 39216 USA

[3] Univ Washington, Sch Med, Dept Pediat, Crit Care Med, Seattle, WA 98195 USA

来源：

PEDIATRIC CRITICAL CARE MEDICINE | 2016年 / 17卷 / 08期

关键词：

cardiopulmonary interaction; heart failure; hemodynamic monitoring; oxygen demand; oxygen supply; vasoactive therapy; LEFT-VENTRICULAR DYSFUNCTION; AORTIC-STENOSIS; NORWOOD PROCEDURE; VASOPRESSIN INFUSION; MITRAL REGURGITATION; AFTERLOAD REDUCTION; RESPIRATORY MUSCLE; PEDIATRIC-PATIENTS; BLOOD-FLOW; NITROPRUSSIDE;

D O I：

10.1097/PCC.0000000000000777

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Objectives: The objectives of this review are to discuss the clinical assessment, pathophysiology, and management of shock, with an emphasis on circulatory physiology, cardiopulmonary interactions, and pharmacologic strategies to optimize systemic oxygen delivery. These principles will then be applied to the clinical syndromes of heart failure and cardiogenic shock that are seen in children. Data Source: MEDLINE, PubMed. Conclusion: An understanding of essential circulatory physiology and the pathophysiology of shock are necessary for managing patients at risk for or in a state of shock. A timely and accurate assessment of cardiac function, cardiac output, and tissue oxygenation and the means by which to enhance the relationship between oxygen delivery and consumption are essential in order to optimize outcomes.

引用

页码：S124 / S130

页数：7

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