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. 2011 Apr;4(2):233-43.
doi: 10.4103/0974-2700.82211.

Clinical pathology of the shock syndromes

Fabrizio Giuseppe Bonanno  1
Affiliations

Clinical pathology of the shock syndromes

Fabrizio Giuseppe Bonanno. J Emerg Trauma Shock. 2011 Apr.

Abstract

The clinical aspects of shock syndromes are described from their inception as compensated physiology to a stage of decompensation. The clinical significance of hypotension, fluid-responsive and non fluid-responsive hypotension, is discussed. Untimely or inadequate treatment leads to persistent subclinical shock despite adjustments of the macrohemodynamic variables, which evolves in a second hit of physiological deterioration if not aggressively managed. Irreversible shock ensues as consequence of direct hit or as result of inadequate or delayed treatment and is characterized by drug-resistant hypotension.

Keywords: Assessment; cryptic shock; hypotension; irreversible shock; shock.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Unifying concept – Circulation from normal physiology to cessation of life
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