Document Detail


The use of vasopressors and inotropes in the emergency medical treatment of shock.
MedLine Citation:
PMID:  18655944     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Shock is a final common pathway associated with regularly encountered emergencies including myocardial infarction, microbial sepsis, pulmonary embolism, significant trauma, and anaphylaxis. Shock results in impaired tissue perfusion, cellular hypoxia, and metabolic derangements that cause cellular injury. The clinical manifestations and prognosis of shock are largely dependent on the etiology and duration of insult. It is important that emergency physicians, familiar with the broad differential diagnosis of shock, be prepared to rapidly recognize, resuscitate, and target appropriate therapies aimed at correcting the underlying process. This article focuses on the basic pathophysiology of shock states and reviews the rationale regarding vasoactive drug therapy for cardiovascular support of shock within an emergency environment.
Authors:
Timothy J Ellender; Joseph C Skinner
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Emergency medicine clinics of North America     Volume:  26     ISSN:  0733-8627     ISO Abbreviation:  Emerg. Med. Clin. North Am.     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-07-28     Completed Date:  2008-09-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8219565     Medline TA:  Emerg Med Clin North Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  759-86, ix     Citation Subset:  IM    
Affiliation:
Department of Emergency Medicine, Indiana University Hospital, Emergency Medical Group Inc., 1701 North Senate Boulevard EMTC-AG001, Indianapolis, IN 46202, USA. tellende@iupui.edu
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MeSH Terms
Descriptor/Qualifier:
Cardiotonic Agents / therapeutic use*
Emergency Medical Services / methods*
Humans
Outcome Assessment (Health Care)
Shock / drug therapy*
Vasoconstrictor Agents / therapeutic use*
Chemical
Reg. No./Substance:
0/Cardiotonic Agents; 0/Vasoconstrictor Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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