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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2018, Number 1

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An Med Asoc Med Hosp ABC 2018; 63 (1)

Hypovolemic shock

López CF, Pérez RBGR, Tapia IEX, Paz CDC, Ochoa MX, Cano EAA, Sánchez CA, Montiel FHM

Language: Spanish
References: 50
Page: 48-54
PDF size: 205.43 Kb.


ABSTRACT

In the last years, the definition, classification and treatment of the state of shock have been subject to revisions and constant changes. Identifying these patients is vital in an emergency room before the damage becomes sustained and irreversible. Shock is defined as a situation of generalized tissue hypoperfusion in which the oxygen supply at the cellular level is inadequate to satisfy the metabolic demands. The aim of this review is to define, diagnose and classify hypovolemic shock in order to understand the changes and controversies that exist regarding the treatment of shock. Currently, studies of the state of shock have been based on finding methods to detect this condition early as well as laboratory parameters that allow an objective classification and thus guide proper resuscitation, although as a consequence of being a syndrome, there is no parameter that serves as a gold standard. Hemodynamic monitoring has been used to guide the patient’s resuscitation therapy, and today it is known that dynamic methods such as compressibility of the inferior vena cava are among the most useful. The adequate identification, monitoring and treatment of the patient can avoid important systemic repercussions and irreversible consequences at the cellular level that may lead the patient to death.


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