Understanding hypovolaemic, cardiogenic and septic shock.

Nurs Stand

Intensive Care Unit and Step-Down Unit, University Hospitals Richmond Medical Center, Richmond Heights, Ohio, USA.

Published: November 2007

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Mixed Cardiogenic Shock: A Proposal for Standardized Classification, a Hemodynamic Definition, and Framework for Management.

Circulation

October 2024

Levine Cardiac Intensive Care Unit, TIMI Study Group, Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (D.A.M.).

Article Synopsis
  • * Mixed CS has become the second most common type of shock in coronary intensive care units, yet there's a lack of high-quality research to inform standard care practices and classifications.
  • * The text proposes a new framework for classifying mixed CS and highlights the need for invasive hemodynamic measures to improve the understanding and management of this condition in clinical settings.
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Hemorrhagic pancreatitis is a rare cause of hypovolemic shock. It presents as silent bleeding, with signs of hypovolemic shock and abdominal pain eventually culminating in life-threatening bleeding. This case study delves into a case of hemorrhagic pancreatitis in a 49-year-old male.

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Article Synopsis
  • - Corneal tissue is essential for restoring vision through transplantation, but there’s a significant shortage of available corneas, particularly in Mexico, which lags behind other countries in donation rates.
  • - A study analyzed medical records of 185 cadaveric corneal donors in Querétaro, Mexico, focusing on various factors including age, cause of death, and serological health tests for viruses like HIV and COVID-19.
  • - The results showed the average donor age was 56.34 years, predominantly male, with common causes of death including cardiogenic and hypovolemic shock; a small percentage were excluded due to positive viral testing.
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Article Synopsis
  • Shock is a critical condition that can lead to organ failure if not recognized and treated quickly, especially in the ICU where it's frequently seen.
  • A review introduces an ultrasound-based protocol to assess hemodynamics in shock, categorizing it by cardiac index and identifying its different causes like obstructive, hypovolemic, cardiogenic, and distributive shock.
  • Utilizing critical care ultrasound helps clinicians not only diagnose the type of shock but also tailor the treatment effectively while monitoring patient progress, improving overall outcomes.
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Article Synopsis
  • The study investigates how the initial misclassification of undifferentiated hypotension (UH) in the emergency department (ED) impacts patients' clinical outcomes.
  • It included 270 adult patients who presented with UH, categorizing them into groups based on whether their initial and final shock diagnoses matched.
  • Findings showed that misclassified patients had higher hospitalization rates and lower discharge rates from the ED, but surprisingly, survival to discharge was not affected by the misclassification.
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