This review highlights the importance of understanding circulatory physiology and timely assessment of cardiac function to optimize outcomes in pediatric patients with heart failure and cardiogenic shock.
Timely physiologic assessment may guide pediatric shock care; extends reviews but leaves open protocol validation in trials.
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.
No takes yet. Share an insight, caveat, or question.
Bronicki et al. (2016) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: