<abstract xmlns="http://www.w3.org/1999/xhtml"><p> Circulatory shock is a complex clinical syndrome encompassing a group of conditions that can arise from different etiologies and presented by several different hemodynamic patterns. If not corrected, cell dysfunction, irreversible multiple organ insufficiency, and death may occur. The four basic types of shock, hypovolemic, cardiogenic, obstructive and distributive, have features similar to that of hemodynamic shock. It is therefore essential, when monitoring hemodynamic shock, to making accurate clinical assessments which will guide and dictate appropriate management therapy. The European Society of Intensive Care has recently made recommendations for monitoring hemodynamic shock. The present paper discusses the issues raised in the new statements, including individualization of blood pressure targets, prediction of fluid responsiveness, and the use of echocardiography as the first means during the initial evaluation of circulatory shock. Also, the place of more invasive hemodynamic monitoring techniques and future trends in hemodynamic and metabolic monitoring in circulatory shock, will be debated.</p></abstract>

Circulatory shock is a complex clinical syndrome encompassing a group of conditions that can arise from different etiologies and presented by several different hemodynamic patterns. If not corrected, cell dysfunction, irreversible multiple organ insufficiency, and death may occur. The four basic types of shock, hypovolemic, cardiogenic, obstructive and distributive, have features similar to that of hemodynamic shock. It is therefore essential, when monitoring hemodynamic shock, to making accurate clinical assessments which will guide and dictate appropriate management therapy. The European Society of Intensive Care has recently made recommendations for monitoring hemodynamic shock. The present paper discusses the issues raised in the new statements, including individualization of blood pressure targets, prediction of fluid responsiveness, and the use of echocardiography as the first means during the initial evaluation of circulatory shock. Also, the place of more invasive hemodynamic monitoring techniques and future trends in hemodynamic and metabolic monitoring in circulatory shock, will be debated.

The Diagnosis and Hemodynamic Monitoring of Circulatory Shock: Current and Future Trends

Ph.D Carol Davila University of Medicine and Pharmacy, Bucharest, Romania

1st Department of Cardiovascular Anesthesia and Intensive Care, “C.C.Iliescu” Emergency Institute for Cardiovascular Diseases, Bucharest, Romania

The Journal of Critical Care Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Circulatory shock is a complex clinical syndrome encompassing a group of conditions that can arise from different etiologies and presented by several different...

The Diagnosis and Hemodynamic Monitoring of Circulatory Shock: Current and Future Trends

Publié en ligne: 10 août 2016

Pages: 115 - 123

Reçu: 03 juin 2016

Accepté: 15 juil. 2016

DOI: https://doi.org/10.1515/jccm-2016-0018

Mots clés
circulatory shock, hemodynamic shock, transesophageal echocardiography, new statements, future trends

© 2016

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

The Diagnosis and Hemodynamic Monitoring of Circulatory Shock: Current and Future Trends

Publié en ligne: 10 août 2016

Pages: 115 - 123

Reçu: 03 juin 2016

Accepté: 15 juil. 2016

DOI: https://doi.org/10.1515/jccm-2016-0018

Mots cléscirculatory shock, hemodynamic shock, transesophageal echocardiography, new statements, future trends

© 2016

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Mots clés
circulatory shock, hemodynamic shock, transesophageal echocardiography, new statements, future trends