Uploaded byDr.Mahmoud Abbas
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Shock
Recent Advances in the Treatment of Shock discusses various types of shock and their treatment. It summarizes that hypovolemic shock is primarily treated with volume replacement, while septic shock involves blocking endotoxins and mediators through antibiotics, antagonizing cytokines, and reversing coagulopathy. Early reversal of pediatric septic shock through prompt treatment is associated with improved outcomes, as each hour of persistent shock doubles the risk of mortality. Guidelines recommend a stepwise approach to hemodynamic support for septic shock through fluid resuscitation, vasopressors, and inotropes to achieve normal perfusion pressures and cardiac index.
