Clinical Management of Shock

Shock is a physiological state of war! From a healthcare provider perspective, the word “shock” is associated with a mixed array of feelings, including dread, well-founded fear, and deep respect. The physiological state of shock is well recognized for the associated destructive consequences, and its...

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語言:英语
出版: IntechOpen 2021
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collection Directory of Open Access Books
description Shock is a physiological state of war! From a healthcare provider perspective, the word “shock” is associated with a mixed array of feelings, including dread, well-founded fear, and deep respect. The physiological state of shock is well recognized for the associated destructive consequences, and its successful management requires prompt identification, immediate action, and sustained effort by all members of the healthcare team. This mindset of advanced preparation and constant readiness constitutes the foundation of the modern approach toward shock – early detection and prompt treatment for optimal outcomes. Despite the heterogeneity of “shock” as a clinico-pathological entity, there are some common threads that permeate all forms and manifestations of shock, with apparent increase in observed commonalities in the more advanced (and often irreversible) stages of the systemic syndrome. When faced with shock, the body and its systems do their best to compensate for the maldistribution of oxygen and nutrients. This is known as the so-called compensated shock. Beyond that, the body loses its ability to adjust any further, thus descending into “uncompensated shock,” with a refractory state characterized by vasoplegia and irreversible cardiovascular failure. As the reader journeys through the chapters of the book, he or she will read about various biomarkers and endpoints of resuscitation, explore different types of shock (e.g., septic, hemorrhagic, anaphylactic) and learn about some of the less often discussed topics such as neurogenic and spinal shock, as well as the amniotic fluid embolism. Our goals were to keep things clinically relevant and practically oriented, thus enabling the reader to apply the newly acquired knowledge in their everyday clinical routines. As the reader progresses through the book, we hope to help stimulate further discourse and innovative thinking about the topic. In this context, it is critical that basic, translational, and clinical research on shock continues to advance. Only through ongoing scientific progress can we help improve outcomes for patients with both rare and common forms of shock.
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spelling doab-20.500.12854ir-675692024-04-01T14:15:36Z Clinical Management of Shock Stawicki, Stanislaw P. Swaroop, Mamta Intensive care medicine thema EDItEUR::M Medicine and Nursing::MK Medical specialties, branches of medicine::MKM Clinical psychology::MKMT Psychotherapy Shock is a physiological state of war! From a healthcare provider perspective, the word “shock” is associated with a mixed array of feelings, including dread, well-founded fear, and deep respect. The physiological state of shock is well recognized for the associated destructive consequences, and its successful management requires prompt identification, immediate action, and sustained effort by all members of the healthcare team. This mindset of advanced preparation and constant readiness constitutes the foundation of the modern approach toward shock – early detection and prompt treatment for optimal outcomes. Despite the heterogeneity of “shock” as a clinico-pathological entity, there are some common threads that permeate all forms and manifestations of shock, with apparent increase in observed commonalities in the more advanced (and often irreversible) stages of the systemic syndrome. When faced with shock, the body and its systems do their best to compensate for the maldistribution of oxygen and nutrients. This is known as the so-called compensated shock. Beyond that, the body loses its ability to adjust any further, thus descending into “uncompensated shock,” with a refractory state characterized by vasoplegia and irreversible cardiovascular failure. As the reader journeys through the chapters of the book, he or she will read about various biomarkers and endpoints of resuscitation, explore different types of shock (e.g., septic, hemorrhagic, anaphylactic) and learn about some of the less often discussed topics such as neurogenic and spinal shock, as well as the amniotic fluid embolism. Our goals were to keep things clinically relevant and practically oriented, thus enabling the reader to apply the newly acquired knowledge in their everyday clinical routines. As the reader progresses through the book, we hope to help stimulate further discourse and innovative thinking about the topic. In this context, it is critical that basic, translational, and clinical research on shock continues to advance. Only through ongoing scientific progress can we help improve outcomes for patients with both rare and common forms of shock. 2021-04-20T16:18:22Z 2021-04-20T16:18:22Z 2020 book ONIX_20210420_9781838811716_2929 9781838811716 9781838811709 9781838811723 https://directory.doabooks.org/handle/20.500.12854/67569 eng image/jpeg n/a https://www.intechopen.com/books https://mts.intechopen.com/storage/books/7043/authors_book/authors_book.pdf IntechOpen IntechOpen 10.5772/intechopen.73805 10.5772/intechopen.73805 78a36484-2c0c-47cb-ad67-2b9f5cd4a8f6 9781838811716 9781838811709 9781838811723 IntechOpen 208 open access
spellingShingle Intensive care medicine
thema EDItEUR::M Medicine and Nursing::MK Medical specialties, branches of medicine::MKM Clinical psychology::MKMT Psychotherapy
Clinical Management of Shock
title Clinical Management of Shock
title_full Clinical Management of Shock
title_fullStr Clinical Management of Shock
title_full_unstemmed Clinical Management of Shock
title_short Clinical Management of Shock
title_sort clinical management of shock
topic Intensive care medicine
thema EDItEUR::M Medicine and Nursing::MK Medical specialties, branches of medicine::MKM Clinical psychology::MKMT Psychotherapy
topic_facet Intensive care medicine
thema EDItEUR::M Medicine and Nursing::MK Medical specialties, branches of medicine::MKM Clinical psychology::MKMT Psychotherapy
url ONIX_20210420_9781838811716_2929