3 results
21/Oct/2024
DOI: 10.31744/einstein_journal/2024RW0775
ABSTRACT Circulatory shock is a common fatal condition. Despite this, information on this syndrome in the current medical literature is fragmented and esoteric. Adherence to each basic element of care can have a profound impact on patient outcomes. Disturbances in pumping (cardiogenic), content/container relationship (hypovolemic and vasoplegic), or blockage in blood circulation (obstructive) can induce tissue hypoperfusion, causing hemodynamic shock. If not quickly reversed, hypoperfusion progresses to irreversible multi-organ failure. The course can be fatal even before reaching this stage […]
Keywords: Adrenal insufficiency; Anaphylaxis; Cardiac output; Cardiac tamponade; Fluid therapy; Hemodynamic monitoring; Hemodynamics; Intensive care units; Pulmonary embolism; Shock; Shock, cardiogenic; Shock, hemorrhagic; Shock, septic
21/Aug/2015
DOI: 10.1590/S1679-45082015RW3273
Early resuscitation of septic shock patients reduces the sepsis-related morbidity and mortality. The main goals of septic shock resuscitation include volemic expansion, maintenance of adequate tissue perfusion and oxygen delivery, guided by central venous pressure, mean arterial pressure, mixed or central venous oxygen saturation and arterial lactate levels. An aggressive fluid resuscitation, possibly in association with vasopressors, inotropes and red blood cell concentrate transfusion may be necessary to achieve those hemodynamic goals. Nonetheless, even though fluid administration is one of […]
Keywords: Albumins; Colloids; Fluid therapy; Hydroxyethil starch derivatives; Ressuscitation/methods; Schock, septic
21/Aug/2015
DOI: 10.1590/S1679-45082015AO3313
Objective To compare outcomes between elderly (≥65 years old) and non-elderly (
Keywords: Aged; Fluid therapy; Multiple organ failure; Resuscitation; Sepsis; Shock; Shock, septic; Vasoconstrictor agents