Hypovolemic Shock Treatment

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Introduction At its most basic definition, the term “shock” means that there is a lack of adequate tissue oxygenation throughout the body. Typically, this lack of oxygenation is caused by either a lack of circulating blood volume, a decrease in cardiac function, a decrease in systemic vascular resistance, or some other means by which the […]

Cardiogenic Shock

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Cardiogenic shock is defined as a primary cardiac disorder that results in both clinical and biochemical evidence of tissue hypoperfusion. Clinical criteria include a systolic blood pressure of less than or equal to 90 mm Hg for greater than or equal to 30 minutes or support to maintain systolic blood pressure less than or equal to 90 […]

Distributive Shock

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Distributive shock, also known as vasodilatory shock, is one of the four broad classifications of disorders that cause inadequate tissue perfusion. Systemic vasodilation leads to decreased blood flow to the brain, heart, and kidneys causing damage to vital organs. Distributive shock also leads to leakage of fluid from capillaries into the surrounding tissues, further complicating […]

Hemorrhagic Shock

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Introduction Shock refers to the inadequate perfusion of tissues due to the imbalance between the oxygen demand of tissues and the body’s ability to supply it. Classically, there are four categories of shock: hypovolemic, cardiogenic, obstructive, and distributive shock. Hypovolemic shock occurs when there is decreased intravascular volume to the point of cardiovascular compromise. The […]

Neurogenic Shock

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Introduction Neurogenic shock is a devastating consequence of spinal cord injury (SCI). It manifests as hypotension, bradyarrhythmia, and temperature dysregulation due to peripheral vasodilatation following an injury to the spinal cord. This occurs due to the sudden loss of sympathetic tone, with preserved parasympathetic function, leading to autonomic instability. Neurogenic shock is mostly associated with cervical and high thoracic […]

Getting Ventilation Right With Capnometry

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End-tidal carbon dioxide (ETCO2) is the level of carbon dioxide that is released at the end of an exhaled breath. ETCO2 levels reflect the adequacy with which carbon dioxide (CO2) is carried in the blood back to the lungs and exhaled. Available evidence has established that ETCO2 measurement can provide an indication of cardiac output and pulmonary […]

Structural Pressures Of The Airway Associated With Positive Pressure Ventilation

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Airway Wall Pressure In normal respiration, the patient’s diaphragm and intercostal pull on the lungs to make them larger to create a vacuum that pulls air into the lungs. Since the lungs are creating a vacuum (negative pressure) to pull in the air, there is little or no chance of over-inflation in increased pressure on […]

Airway Burns

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Introduction Inhalation injury is a broad term that includes pulmonary exposure to a wide range of chemicals in various forms including smoke, gases, vapors, or fumes. Inhalation injury from smoke exposure is commonly seen in patients exposed to fires. Smoke inhalation is one of the most commonly encountered inhalation injuries and is the primary focus of […]

Tidal Volume, Minute Volume, & Alveolar Volume

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Tidal volume is the amount of air that moves in or out of the lungs with each respiratory cycle. It measures around 500 mL in an average healthy adult male and approximately 400 mL in a healthy female. It is a vital clinical parameter that allows for proper ventilation to take place. When a person […]

Homeostasis

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Introduction Homeostasis is a term that was first coined by physiologist Walter Cannon in 1926, clarifying the ‘milieu intérieur’ that fellow physiologist Claude Bernard had spoken of ­­in 1865.  ‘Homeo,’ Latinized from the Greek word ‘homio,’ means ‘similar to,’ and when combined with the Greek word ‘stasis,’ meaning ‘standing still’ gives us the term that […]

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