Advances in Monitoring and Management of Shock

Haifa Mtaweh, Erin V. Trakas, Erik Su, Joseph A. Carcillo, Rajesh K. Aneja

Research output: Contribution to journalReview articlepeer-review

Abstract

Early recognition and treatment of pediatric shock, regardless of cause, decreases mortality and improves outcome. In addition to the conventional parameters (eg, heart rate, systolic blood pressure, urine output, and central venous pressure), biomarkers and noninvasive methods of measuring cardiac output are available to monitor and treat shock. This article emphasizes how fluid resuscitation is the cornerstone of shock resuscitation, although the choice and amount of fluid may vary based on the cause of shock. Other emerging treatments for shock (ie, temperature control, extracorporeal membrane oxygenation/ventricular assist devices) are also discussed.

Original languageEnglish (US)
Pages (from-to)641-654
Number of pages14
JournalPediatric clinics of North America
Volume60
Issue number3
DOIs
StatePublished - Jun 2013

Keywords

  • Cardiac output monitoring
  • Pediatric sepsis
  • Septic shock

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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