Review article
Pediatric Shock
AYSE AKCAN ARIKAN
; Paediatric Intensive Care Unit, Johns Hopkins affl. Anadolu Health Center, Anadolu cad. no:1 Cayirova Mevkii, Gebze 41400 Kocaeli, Turkey
AGOP CITAK
; Department of Pediatric Intensive Care, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
Abstract
Millions of children die of shock due to various etiologies each year. Shock is a state of circulatory dysfunction where the metabolic demands of the tissue cannot be met by the circulation. Several different etiologies from hypovolemia to severe infection can result in shock. This review focuses on the definition of different types of shock seen in children and summarizes treatment strategies for the acute care practitioner based on pertinent recent literature. Early recognition and timely intervention are critical for successful treatment of pediatric shock. A strong index of suspicion by the treating clinician and early fluid resuscitation followed by ongoing assessment and timely transfer to a higher level of care can make the difference between life and death for the child who presents in shock.
Keywords
shock; child; etiology; treatment
Hrčak ID:
22522
URI
Publication date:
1.4.2008.
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