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Intensive Care for Emergency SurgeonsCirculatory Failure and Support in the ACS Patient: What Are the Optimal Methods of Providing Circulatory Monitoring and Support?

Intensive Care for Emergency Surgeons: Circulatory Failure and Support in the ACS Patient: What... [The acute care surgeon frequently will need to care for surgical patients in circulatory failure. The causes of circulatory failure can run the gamut of the different forms of shock including hypovolemic, distributive, cardiogenic, or obstructive and can be overlapping. The central role of the surgeon in the management of shock spans all phases of care. Early identification and appropriate management are key to optimal outcomes. The history and physical exam can often suggest possible causes, but adjuncts including hemodynamic monitoring and ultrasound are proving essential in individualizing treatment. Appropriate resuscitation is paramount, and understanding the etiology of circulatory shock aids in treatment algorithms indicated for the clinical situation. Despite aggressive efforts, refractory shock remains difficult and sometimes unavoidable. Knowledge of potential medical and therapeutic technologies may be life-sustaining in the correct patient population.] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

Intensive Care for Emergency SurgeonsCirculatory Failure and Support in the ACS Patient: What Are the Optimal Methods of Providing Circulatory Monitoring and Support?

Part of the Hot Topics in Acute Care Surgery and Trauma Book Series
Editors: Picetti, Edoardo; Pereira, Bruno M.; Razek, Tarek; Narayan, Mayur; Kashuk, Jeffry L.
Mendoza, April E.; Velmahos, George C.
Intensive Care for Emergency Surgeons — May 30, 2019
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Publisher
Springer International Publishing
Copyright
© Springer Nature Switzerland AG 2019
ISBN
978-3-030-11829-7
Pages
73 –87
DOI
10.1007/978-3-030-11830-3_5
Publisher site
See Chapter on Publisher Site

Abstract

[The acute care surgeon frequently will need to care for surgical patients in circulatory failure. The causes of circulatory failure can run the gamut of the different forms of shock including hypovolemic, distributive, cardiogenic, or obstructive and can be overlapping. The central role of the surgeon in the management of shock spans all phases of care. Early identification and appropriate management are key to optimal outcomes. The history and physical exam can often suggest possible causes, but adjuncts including hemodynamic monitoring and ultrasound are proving essential in individualizing treatment. Appropriate resuscitation is paramount, and understanding the etiology of circulatory shock aids in treatment algorithms indicated for the clinical situation. Despite aggressive efforts, refractory shock remains difficult and sometimes unavoidable. Knowledge of potential medical and therapeutic technologies may be life-sustaining in the correct patient population.]

Published: May 30, 2019

Keywords: Vasopressors; Shock; Hypoperfusion; Resuscitation; Hemodynamic monitoring

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