191 results match your criteria Shock Distributive


Visceral leishmaniasis with haemophagocytic lymphohistiocytosis.

BMJ Case Rep 2019 Feb 13;12(2). Epub 2019 Feb 13.

Department of General Medicine, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.

A 27-year-old man presented with high-grade intermittent fever for 4 months, generalised fatigue for 2 months, intermittent gum bleeds for 1 month and loss of weight of 15 kg. He appeared cachectic with generalised wasting, had pallor and features of reticuloendothelial system proliferation. His liver span was 17 cm. Read More

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http://dx.doi.org/10.1136/bcr-2018-226361DOI Listing
February 2019

Angiotensin II Use in Refractory Multisystem Shock: A Case Report.

Cureus 2018 Nov 30;10(11):e3665. Epub 2018 Nov 30.

Surgery, Riverside Community Hospital / University of California, Riverside, USA.

Distributive (vasodilatory) shock is common in patients admitted to the intensive care unit (ICU). Treating distributive shock presents a challenge, especially if a patient is tachyphylactic to commonly used vasopressors. This case report illustrates the use of a newly approved vasopressor in a patient with vasodilatory shock resulting from a motor vehicle injury. Read More

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https://www.cureus.com/articles/15678-angiotensin-ii-use-in-
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http://dx.doi.org/10.7759/cureus.3665DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6355300PMC
November 2018
2 Reads

Angiotensin II (Giapreza®): A Distinct Mechanism for the Treatment of Vasodilatory Shock.

Cardiol Rev 2018 Dec 28. Epub 2018 Dec 28.

From the Clinical Pharmacy, Montefiore Medical Center/The University Hospital of the Albert Einstein College of Medicine, Einstein Division, Bronx, NY.

Septic shock, a form of vasodilatory shock associated with high morbidity and mortality, requires early and effective therapy to improve patient outcomes. Current management of septic shock includes the use of intravenous fluids, catecholamines and vasopressin for hemodynamic support to ensure adequate perfusion. Despite these interventions, hospital mortality rates are still greater than 40%. Read More

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http://dx.doi.org/10.1097/CRD.0000000000000247DOI Listing
December 2018
6 Reads

The Sudden Infant Death Syndrome mechanism of death may be a non-septic hyper-dynamic shock.

Med Hypotheses 2019 Jan 22;122:35-40. Epub 2018 Oct 22.

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; Pathology Department, Meir Medical Center, Kfar Saba, Israel.

Background: Sudden Infant Death Syndrome (SIDS) mechanisms of death remains obscured. SIDS' Triple Risk Model assumed coexistence of individual subtle vulnerability, critical developmental period and stressors. Prone sleeping is a major risk factor but provide no clues regarding the mechanism of death. Read More

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http://dx.doi.org/10.1016/j.mehy.2018.10.018DOI Listing
January 2019
4 Reads

The Nomenclature, Definition and Distinction of Types of Shock.

Dtsch Arztebl Int 2018 11;115(45):757-768

Department of Anesthesiology, Intensive and Palliative Care Medicine, Städtisches Klinikum Solingen gGmbH; Department of Anesthesiology and Intensive Care Medicine, University Hospital of Cologne; Institute of Clinical and Experimental Pharmacology at the University Medical Center Schleswig-Holstein, Campus Kiel; Surgical Center/Emergency Department, Department of Anesthesiology and Intensive Care, University; Hospital Carl Gustav Carus, Technische Universität Dresden; Department of Cardiothoracic Surgery, Cardiac Center, University Hospital of Cologne; Department of Orthopedics and Trauma Surgery, Kath. Krankenhaus Hagen gGmbH.

Background: A severe mismatch between the supply and demand of oxygen is the common feature of all types of shock. We present a newly developed, clinically oriented classification of the various types of shock and their therapeutic implications.

Methods: This review is based on pertinent publications (1990-2018) retrieved by a selective search in PubMed, and on the relevant guidelines and meta-analyses. Read More

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http://dx.doi.org/10.3238/arztebl.2018.0757DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323133PMC
November 2018
1 Read

Does the Addition of Vasopressin to Catecholamine Vasopressors Affect Outcomes in Patients With Distributive Shock?

Ann Emerg Med 2018 Nov 13. Epub 2018 Nov 13.

Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN.

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http://dx.doi.org/10.1016/j.annemergmed.2018.10.001DOI Listing
November 2018
1 Read

A prospective study of the pathophysiology of carcinoid crisis.

Surgery 2019 Jan 8;165(1):158-165. Epub 2018 Nov 8.

Division of Surgical Oncology, Oregon Health & Science University, Portland. Electronic address:

Background: Sudden massive release of serotonin, histamine, kallikrein, and bradykinin is postulated to cause an intraoperative carcinoid crisis. The exact roles of each of these possible agents, however, remain unknown. Optimal treatment will require an improved understanding of the pathophysiology of the carcinoid crisis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00396060183062
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http://dx.doi.org/10.1016/j.surg.2018.04.093DOI Listing
January 2019
10 Reads

Mean arterial pressure and mortality in patients with distributive shock: a retrospective analysis of the MIMIC-III database.

Ann Intensive Care 2018 Nov 8;8(1):107. Epub 2018 Nov 8.

Division of Critical Care Medicine, St. Paul's Hospital, Vancouver, BC, V6Z 1Y6, Canada.

Background: Maintenance of mean arterial pressure (MAP) at levels sufficient to avoid tissue hypoperfusion is a key tenet in the management of distributive shock. We hypothesized that patients with distributive shock sometimes have a MAP below that typically recommended and that such hypotension is associated with increased mortality.

Methods: In this retrospective analysis of the Medical Information Mart for Intensive Care (MIMIC-III) database from Beth Israel Deaconess Medical Center, Boston, USA, we included all intensive care unit (ICU) admissions between 2001 and 2012 with distributive shock, defined as continuous vasopressor support for ≥ 6 h and no evidence of low cardiac output shock. Read More

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https://annalsofintensivecare.springeropen.com/track/pdf/10.
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https://annalsofintensivecare.springeropen.com/articles/10.1
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http://dx.doi.org/10.1186/s13613-018-0448-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6223403PMC
November 2018
14 Reads

Angiotensin II Brings More Questions Than Answers.

P T 2018 Nov;43(11):685-687

The approval of synthetic human angiotensin II (Giapreza, LaJolla Pharmaceuticals) by the FDA in December 2017 provides clinicians with a new tool in the treatment of distributive shock. Angiotensin II (ATII) was approved based on the results of the ATHOS-3 trial. In this trial, patients who received angiotensin II were more likely to achieve a mean arterial pressure of 75 mmHg or an increase in mean arterial pressure of 10 mmHg above that seen in patients who received a placebo. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205124PMC
November 2018
29 Reads

Field Expedient Vasopressors During Aeromedical Evacuation: A Case Series from the Puerto Rico Disaster Response.

Prehosp Disaster Med 2018 Dec 9;33(6):668-672. Epub 2018 Nov 9.

Department of Emergency Medicine,Navy Medical Center Portsmouth,Portsmouth,VirginiaUSA.

IntroductionEmergency physicians are using bolus-dose vasopressors to temporize hypotensive patients until more definitive blood pressure support can be established. Despite a paucity of clinical outcome data, emergency department applications are expanding into the prehospital setting. This series presents two cases of field expedient vasopressor use by emergency medicine providers for preflight stabilization during aeromedical evacuation to a hospital ship as part of the United States Navy disaster response in Puerto Rico. Read More

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https://www.cambridge.org/core/product/identifier/S1049023X1
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http://dx.doi.org/10.1017/S1049023X18000973DOI Listing
December 2018
11 Reads

Renal Outcomes of Vasopressin and Its Analogs in Distributive Shock: A Systematic Review and Meta-Analysis of Randomized Trials.

Crit Care Med 2019 Jan;47(1):e44-e51

Intensive Care Unit, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.

Objectives: To systematically review the literature and synthesize evidence concerning the effects of vasopressin and its analogs compared with other vasopressors in distributive shock, focusing on renal outcomes.

Data Sources: We performed a systematic review in MEDLINE, Embase, Cochrane Central, and Clinicaltrials.gov databases. Read More

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http://Insights.ovid.com/crossref?an=00003246-900000000-9612
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http://dx.doi.org/10.1097/CCM.0000000000003471DOI Listing
January 2019
3 Reads

Resuscitation fluids.

Curr Opin Crit Care 2018 Dec;24(6):512-518

Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

Purpose Of Review: Intravenous fluid administration is a fundamental therapy in critical care, yet key questions remain unanswered regarding optimal fluid composition and dose. This review evaluates recent evidence regarding the effects of fluid resuscitation on pathophysiology, organ function, and clinical outcomes for critically ill patients.

Recent Findings: Recent findings suggest that intravenous fluid composition affects risk of kidney injury and death for critically ill adults. Read More

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http://dx.doi.org/10.1097/MCC.0000000000000551DOI Listing
December 2018
2 Reads

Transient severe distributive shock due to early dumping syndrome: a case report.

J Med Case Rep 2018 Sep 13;12(1):259. Epub 2018 Sep 13.

Department of Emergency and Critical Care Medicine, Institute of Biomedical & Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan.

Background: Early dumping syndrome characterized by palpitation, dizziness, cold sweat, feebleness, and abdominal symptoms, occurs within 30 minutes after meals in patients who have undergone gastrectomy. This case report describes the case of a patient who presented with severe distributive shock due to early dumping syndrome; he recovered within a few hours after massive fluid infusion and vasopressor administration.

Case Presentation: Our patient was a 68-year-old Japanese man who underwent total gastrectomy for gastric cancer and was diagnosed as having late dumping syndrome. Read More

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http://dx.doi.org/10.1186/s13256-018-1800-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136219PMC
September 2018
2 Reads

FDA Approval of Angiotensin II for the Treatment of Hypotension in Adults with Distributive Shock.

Am J Cardiovasc Drugs 2019 Feb;19(1):11-20

Division of Cardiovascular and Renal Products, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave, Bldg 22, Room #4128, Silver Spring, MD, USA.

Distributive shock is a subset of shock marked by decreased systemic vascular resistance, organ hypoperfusion and altered oxygen extraction. Despite the use of intravenous fluids and either higher dose of catecholamines or other additional exogenous vasopressors to maintain blood pressure in the target range, the rate of mortality remains higher in patients with septic shock. Therefore, there is clearly an unmet need for additional safe and effective treatments. Read More

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http://dx.doi.org/10.1007/s40256-018-0297-9DOI Listing
February 2019
21 Reads

Point-of-Care Ultrasound in Established Settings.

South Med J 2018 07;111(7):373-381

From the Departments of Emergency Medicine and Internal Medicine, Greenville Health System, University of South Carolina School of Medicine, Greenville, the Department of Medicine, Division of Pulmonary and Critical Care Medicine, University of South Carolina School of Medicine, Columbia, and the Department of Medicine, Division of General and Hospital Medicine, University of Texas Health, San Antonio.

The original and most widely accepted applications for point-of-care ultrasound (POCUS) are in the settings of trauma, shock, and bedside procedures. Trauma was the original setting for the introduction of POCUS and has been standardized under the four-plus view examination called the Focused Assessment with Sonography in Trauma (FAST). This examination was found to be especially practice changing for achieving rapid diagnoses in critically ill patients who are too unstable for the delays and transportation inherent in more advanced imaging with computed tomography. Read More

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http://sma.org/southern-medical-journal/article/point-of-car
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http://dx.doi.org/10.14423/SMJ.0000000000000838DOI Listing
July 2018
10 Reads

Shock subtypes by left ventricular ejection fraction following out-of-hospital cardiac arrest.

Crit Care 2018 06 15;22(1):162. Epub 2018 Jun 15.

Center for Acute Respiratory Failure, Division of Pulmonary, Allergy, and Critical Care Medicine, Columbia University College of Physicians & Surgeons, 622 W. 168th Street, 8E101, New York, NY, 10032, USA.

Background: Post-resuscitation hemodynamic instability following out-of-hospital cardiac arrest (OHCA) may occur from myocardial dysfunction underlying cardiogenic shock and/or inflammation-mediated distributive shock. Distinguishing the predominant shock subtype with widely available clinical metrics may have prognostic and therapeutic value.

Methods: A two-hospital cohort was assembled of patients in shock following OHCA. Read More

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http://dx.doi.org/10.1186/s13054-018-2078-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6003130PMC
June 2018
4 Reads

Association of Vasopressin Plus Catecholamine Vasopressors vs Catecholamines Alone With Atrial Fibrillation in Patients With Distributive Shock: A Systematic Review and Meta-analysis.

JAMA 2018 05;319(18):1889-1900

McMaster University, Hamilton, Ontario, Canada.

Importance: Vasopressin is an alternative to catecholamine vasopressors for patients with distributive shock-a condition due to excessive vasodilation, most frequently from severe infection. Blood pressure support with a noncatecholamine vasopressor may reduce stimulation of adrenergic receptors and decrease myocardial oxygen demand. Atrial fibrillation is common with catecholamines and is associated with adverse events, including mortality and increased length of stay (LOS). Read More

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http://dx.doi.org/10.1001/jama.2018.4528DOI Listing
May 2018
8 Reads
35.290 Impact Factor

Central ECMO for circulatory failure following pediatric liver transplantation.

Perfusion 2018 11 22;33(8):704-706. Epub 2018 May 22.

1 Department of Anesthesiology, Medical College of Wisconsin, Children's Hospital of Wisconsin, Milwaukee, WI, USA.

We describe the case of a 4-year-old male with a past medical history significant for nephrotic syndrome, short-bowel syndrome and fulminant hepatic failure status post (s/p) liver transplant (LT) who developed early post-transplant allograft dysfunction (hyperbilirubinemia, coagulopathy) and septic shock requiring central extracorporeal membrane oxygenation (ECMO). He remained on ECMO for 85 hours before he was decannulated without event and later underwent repeat LT. This case highlights the potential of central ECMO to provide the circulatory output necessary to reverse distributive shock physiology in patients with sepsis and hepatic dysfunction following LT. Read More

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http://dx.doi.org/10.1177/0267659118778170DOI Listing
November 2018
6 Reads

Accuracy and outcome of rapid ultrasound in shock and hypotension (RUSH) in Egyptian polytrauma patients.

Chin J Traumatol 2018 Jun 26;21(3):156-162. Epub 2018 Mar 26.

Department of Anesthesia and Intensive Care, Faculty of Medicine, Suez Canal University, Egypt.

Purpose: "Polytrauma" patients are of a higher risk of complications and death than the summation of expected mortality and morbidity of their individual injuries. The ideal goal in trauma resuscitation care is to identify and treat all injuries. With clinical and technological advanced imaging available for diagnosis and treatment of traumatic patients, point of care-rapid ultrasound in shock and hypotension (RUSH) significantly affects modern trauma services and patient outcomes. Read More

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http://dx.doi.org/10.1016/j.cjtee.2017.06.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6033727PMC
June 2018
8 Reads

Idiopathic systemic capillary leak syndrome presenting as septic shock: A case report.

Heart Lung 2018 Jul - Aug;47(4):425-428. Epub 2018 May 18.

Department of Allergy, Immunology, Respiratory Medicine, The Alfred Hospital, Commercial Road, Prahran, Melbourne, VIC 3181, Australia.

Background: Idiopathic capillary leak syndrome (Clarkson's Disease) is a rare angiopathy with a heterogenous phenotype that may present as distributive shock refractory to resuscitative management.

Objective: We report a case of idiopathic systemic capillary leak syndrome presenting as septic shock.

Methods: Structured case report and review of the literature. Read More

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http://dx.doi.org/10.1016/j.hrtlng.2018.04.008DOI Listing
May 2018
7 Reads

Cardiac Point-of-care Using Ultrasound.

Authors:
Mitsuharu Kodaka

Masui 2017 May;66(5):484-492

Patients with cardiac disease have high mortality rates, mainly owing to shock. Therefore, evaluation of cardiac function is one of the most challenging issues in the intensive and critical care unit. Cardiac point-of-care tests using ultrasound, such as focus assessed transthoracic echo (FATE) and rapid ultrasound in shock (RUSH). Read More

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May 2017
3 Reads

Fluid therapy and shock: an integrative literature review.

Br J Nurs 2018 Apr;27(8):449-454

Assistant Teacher, Portuguese Catholic University, Lisbon, Portugal.

Background: shock refers to a physiological situation that puts life at risk. Its early identification and the timely institution of therapeutic measures can avoid death. Despite the frequent administration of fluid therapy as a treatment for shock, the type and dose of fluids to be delivered remain undetermined. Read More

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http://dx.doi.org/10.12968/bjon.2018.27.8.449DOI Listing

Emergency Department Management of Pediatric Shock.

Authors:
Jenny Mendelson

Emerg Med Clin North Am 2018 May 10;36(2):427-440. Epub 2018 Feb 10.

Pediatrics, Division of Pediatric Critical Care Medicine, University of Arizona College of Medicine, Banner-University Medical Center, 1501 North Campbell Avenue, PO Box 245073, Tucson, AZ 85724-5073, USA; Emergency Medicine, University of Arizona College of Medicine, Banner-University Medical Center, 1501 North Campbell Avenue, Tucson, AZ 85724-5073, USA. Electronic address:

Shock, a state of inadequate oxygen delivery to tissues resulting in anaerobic metabolism, lactate accumulation, and end-organ dysfunction, is common in children in emergency department. Shock can be divided into 4 categories: hypovolemic, distributive, cardiogenic, and obstructive. Early recognition of shock can be made with close attention to historical clues, physical examination and vital sign abnormalities. Read More

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http://dx.doi.org/10.1016/j.emc.2017.12.010DOI Listing
May 2018
5 Reads

Anesthesia-Associated Relative Hypovolemia: Mechanisms, Monitoring, and Treatment Considerations.

Front Vet Sci 2018 16;5:53. Epub 2018 Mar 16.

QTest Labs, Columbus, OH, United States.

Although the utility and benefits of anesthesia and analgesia are irrefutable, their practice is not void of risks. Almost all drugs that produce anesthesia endanger cardiovascular stability by producing dose-dependent impairment of cardiac function, vascular reactivity, and compensatory autoregulatory responses. Whereas anesthesia-related depression of cardiac performance and arterial vasodilation are well recognized adverse effects contributing to anesthetic risk, far less emphasis has been placed on effects impacting venous physiology and venous return. Read More

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http://dx.doi.org/10.3389/fvets.2018.00053DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5864866PMC
March 2018
1 Read

A Blast From the Past: Revival of Angiotensin II for Vasodilatory Shock.

Ann Pharmacother 2018 Sep 27;52(9):920-927. Epub 2018 Mar 27.

1 University of Kentucky Medical Center, Lexington, KY, USA.

Objective: To review and summarize data on angiotensin II (AT-II), approved by the Food and Drug Administration (FDA) in December 2017 to increase blood pressure in adults with septic or other distributive shock.

Data Sources: A PubMed/MEDLINE search was conducted using the following terms: (angiotensin ii OR angiotensin 2) AND (shock) from 1966 to February 2018.

Study Selection And Data Extraction: A total of 691 citations were reviewed with only relevant clinical data extracted. Read More

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http://dx.doi.org/10.1177/1060028018767899DOI Listing
September 2018
3 Reads

Pharmaceutical Approval Update.

P T 2018 Mar;43(3):141-170

Zoster vaccine recombinant, adjuvanted (Shingrix) for the prevention of shingles in adults; angiotensin II injection (Giapreza) to increase blood pressure in adults with septic or other distributive shock; and glycopyrrolate inhalation solution (Lonhala Magnair) for the maintenance treatment of chronic obstructive pulmonary disease. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5821238PMC
March 2018
1 Read

Capillary leak syndrome as a complication of antibody-mediated rejection treatment: a case report.

CEN Case Rep 2018 May 17;7(1):110-113. Epub 2018 Jan 17.

Nephrology Department, National Institute of Medical Sciences and Nutrition Salvador Zubiran, Calle Vasco de Quiroga 15, Tlalpan, Sección XVI, 14000, Mexico City, Mexico.

We report a case of capillary leak that developed during treatment of antibody-mediated rejection in a kidney transplant recipient. A 53-year-old female transplant recipient experienced an increase in serum creatinine from 1.1 to 1. Read More

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http://dx.doi.org/10.1007/s13730-018-0306-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5886937PMC
May 2018
9 Reads

The effect of angiotensin II on blood pressure in patients with circulatory shock: a structured review of the literature.

Crit Care 2017 Dec 28;21(1):324. Epub 2017 Dec 28.

Department of Critical Care, King's College London, Guy's & St Thomas' NHS Foundation Hospital, London, SE1 7EH, UK.

Background: Circulatory shock is a common syndrome with a high mortality and limited therapeutic options. Despite its discovery and use in clinical and experimental settings more than a half-century ago, angiotensin II (Ang II) has only been recently evaluated as a vasopressor in distributive shock. We examined existing literature for associations between Ang II and the resolution of circulatory shock. Read More

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http://dx.doi.org/10.1186/s13054-017-1896-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5745607PMC
December 2017
9 Reads

Incidence and Natural Progression of Neurogenic Shock after Traumatic Spinal Cord Injury.

J Neurotrauma 2018 Feb 18;35(3):461-466. Epub 2017 Dec 18.

1 International Collaboration on Repair Discoveries, University of British Columbia , Vancouver, British Columbia, Canada .

Neurogenic shock, a distributive type of circulatory shock after spinal cord injury (SCI), results in profound hypotension. The consequent hemodynamic instability complicates clinical management, delays surgical intervention, and impacts neurological outcome. Moreover, the reported incidence of this condition varies significantly. Read More

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http://dx.doi.org/10.1089/neu.2016.4947DOI Listing
February 2018
13 Reads

Distributive Shock in a Neonate with Diffuse Infantile Hepatic Hemangioma.

J Emerg Med 2018 Jan 27;54(1):e1-e3. Epub 2017 Oct 27.

Childrens Hospital of Michigan, Detroit, Michigan.

Background: Hemangiomas are common cutaneous findings on healthy infants. These vascular malformations are generally benign, though in rare circumstances they can potentially be fatal. This is particularly true when the hemangiomas are large or numerous and occurring in visceral organs. Read More

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http://dx.doi.org/10.1016/j.jemermed.2017.09.016DOI Listing
January 2018
3 Reads

Erdheim-Chester Disease presenting with histiocytic colitis and cytokine storm.

J Gastrointestin Liver Dis 2017 06;26(2):183-187

Division of Gastroenterology, Department of Medicine Washington University School of Medicine, St. Louis, MO, USA.

Background: Non-Langerhans histiocytosis is a group of inflammatory lymphoproliferative disorders originating from non-clonal expansion of hematopoietic stem cells into cytokine-secreting dendritic cells or macrophages. Erdheim-Chester Disease (ECD) is a rare type of non-Langerhans cell histiocytosis characterized by tissue inflammation and injury caused by macrophage infiltration and histologic findings of foamy histiocytes. Often ECD involves the skeleton, retroperitoneum and the orbits. Read More

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http://dx.doi.org/10.15403/jgld.2014.1121.262.erdDOI Listing
June 2017
8 Reads

An Ovine Model of Hyperdynamic Endotoxemia and Vital Organ Metabolism.

Shock 2018 Jan;49(1):99-107

The Critical Care Research Group, Chermside, Brisbane, Australia.

Background: Animal models of endotoxemia are frequently used to understand the pathophysiology of sepsis and test new therapies. However, important differences exist between commonly used experimental models of endotoxemia and clinical sepsis. Animal models of endotoxemia frequently produce hypodynamic shock in contrast to clinical hyperdynamic shock. Read More

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http://dx.doi.org/10.1097/SHK.0000000000000904DOI Listing
January 2018
17 Reads

Coronary spasm secondary to cefuroxime injection, complicated with cardiogenic shock - a manifestation of Kounis syndrome: case report and literature review.

Eur Heart J Acute Cardiovasc Care 2018 Oct 27;7(7):624-630. Epub 2017 Mar 27.

3 Intensive Care Unit, Nicosia General Hospital, Cyprus.

Kounis syndrome is defined as the coincidental occurrence of an acute coronary syndrome with hypersensitivity reactions following an allergic event. The three reported variants of Kounis syndrome are vasospastic allergic angina, allergic myocardial infarction and stent thrombosis with occluding thrombus. The syndrome is caused by various inflammatory mediators. Read More

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http://dx.doi.org/10.1177/2048872617701885DOI Listing
October 2018
10 Reads

Augmenting Function for Infarction from Infection: Impella 2.5 for Ischemic Cardiogenic Shock Complicating Sepsis.

Case Rep Cardiol 2017 5;2017:8407530. Epub 2017 Feb 5.

Division of Pulmonary and Critical Care Medicine, University of Maryland School of Medicine, Baltimore, MD, USA; Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.

Cardiac dysfunction is a common complication of sepsis in individuals with preexisting coronary disease and portends a poor prognosis when progressing to ischemic cardiogenic shock. In this setting, maximal medical therapy in isolation is often inadequate to maintain cardiac output for patients who are poor candidates for immediate revascularization. Furthermore, the use of vasopressors and inotropes increases myocardial demand and may lead to further injury. Read More

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http://dx.doi.org/10.1155/2017/8407530DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5316439PMC
February 2017
13 Reads

Distributive Shock in the Emergency Department: Sepsis, Anaphylaxis, or Capillary Leak Syndrome?

J Emerg Med 2017 Jun 21;52(6):e229-e231. Epub 2017 Feb 21.

Department of Emergency Medicine, Kocaeli University, Faculty of Medicine, Kocaeli, Turkey.

Background: Distributive shock is a hyperdynamic process resulting from excessive vasodilatation. Impaired blood flow causes inadequate tissue perfusion, which can lead to end-organ damage. Although the most common etiology is septic shock, anaphylactic and other etiologies should be considered. Read More

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http://dx.doi.org/10.1016/j.jemermed.2017.01.012DOI Listing
June 2017
9 Reads

Respiratory and Cardiac Characteristics of ICU Patients Aged 90 Years and Older: A Report of 12 Cases.

Chin Med Sci J 2016 Mar;31(1):37-42

Department of Critical Care Medicine, Cancer Hospital and Institute, Chinese Academy of Medical Sciences & Peking Union Medical College, 100021 Beijing, China.

Objective To investigate the respiratory and cardiac characteristics of elderly Intensive Care Unit (ICU) patients.Methods Twelve senior ICU patients aged 90 years and older were enrolled in this study. We retrospectively collected all patients' clinical data through medical record review. Read More

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March 2016
2 Reads

Etiology of Shock in the Emergency Department: A 12-Year Population-Based Cohort Study.

Shock 2019 Jan;51(1):60-67

Department of Emergency Medicine, Odense University Hospital, Odense C, Denmark.

Introduction: The knowledge of the etiology and associated mortality of undifferentiated shock in the emergency department (ED) is limited. We aimed to describe the etiology-based proportions and incidence rates (IR) of shock, as well as the associated mortality in the ED.

Methods: Population-based cohort study at a University Hospital ED in Denmark from January 1, 2000, to December 31, 2011. Read More

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http://dx.doi.org/10.1097/SHK.0000000000000816DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6282680PMC
January 2019
14 Reads
3.045 Impact Factor

Effect of non-adrenergic vasopressors on macro- and microvascular coupling in distributive shock.

Best Pract Res Clin Anaesthesiol 2016 Dec 5;30(4):465-477. Epub 2016 Nov 5.

Department of Anaesthesiology, University Hospital of Greifswald, Greifswald, Germany. Electronic address:

The present review initially describes the rationale for the use of non-adrenergic vasopressors in the treatment of distributive shock and then provides an overview of the individual vasopressin-receptor agonists, namely arginine vasopressin, terlipressin, and selepressin. Following a brief summary of their current use in clinical practice, the present review focuses on the influence of vasopressin-receptor agonists on macro- and microvascular coupling, also referred to as hemodynamic coherence. On the basis of the current evidence from experimental and clinical studies, vasopressin-receptor agonists do not negatively influence macro- and microvascular coupling as compared to the standard therapy with norepinephrine, when used in established treatment regimes. Read More

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http://dx.doi.org/10.1016/j.bpa.2016.10.010DOI Listing
December 2016
5 Reads

Severe Intraoperative Shock Related to Mesenteric Traction Syndrome.

A A Case Rep 2017 Feb;8(3):51-54

From the *Division of Anesthesiology, Antonio Pedro University Hospital, Fluminense Federal University, Niterói, Brazil; and †Department of Surgery, Fluminense Federal University Medical School, Niterói, Brazil.

Mesenteric traction syndrome is defined as arterial hypotension, facial flushing, and tachycardia related to mesenteric traction. We describe a case of mesenteric traction syndrome refractory to catecholamine and vasopressin infusions. The patient, who had Crohn disease, developed severe distributive shock after mesenteric traction while undergoing resection of an intestinal inflammatory mass, accompanied by facial flushing and unaltered readings for pulse oximetry, capnography, and bispectral index monitoring. Read More

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http://dx.doi.org/10.1213/XAA.0000000000000422DOI Listing
February 2017
8 Reads

Optimum treatment of vasopressor-dependent distributive shock.

Expert Rev Anti Infect Ther 2017 01 7;15(1):5-10. Epub 2016 Nov 7.

b Service d'Anesthésie et de Réanimation , Hôpital Nord, Assistance Publique-Hôpitaux de Marseille, Aix Marseille Université , Marseille , France.

Introduction: Distributive shock is associated with decreased systemic vascular resistance and altered oxygen extraction. Septic shock is the most frequent form of distributive shock. In shock states, duration of hypotension is associated with poor outcomes. Read More

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http://dx.doi.org/10.1080/14787210.2017.1252673DOI Listing
January 2017
8 Reads

Safety and Efficacy of Terlipressin in Pediatric Distributive Shock: A Retrospective Analysis in 20 Children.

Paediatr Drugs 2017 Feb;19(1):35-41

Department of Pediatric Cardiology, Pulmology and Pediatric Intensive Care Medicine, University Children's Hospital, Hoppe-Seyler-Str. 1, 72076, Tuebingen, Germany.

Introduction: Data are still lacking about the use of terlipressin or vasopressin in the treatment of pediatric patients who are in a state of therapy-refractory shock.

Objective: The aim of this study was to evaluate the effect of terlipressin on hemodynamics in children with distributive shock and to describe any severe side effects.

Methods: Consecutive patients (n = 20) with catecholamine-resistant distributive shock who were treated with terlipressin were retrospectively enrolled in this study. Read More

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http://dx.doi.org/10.1007/s40272-016-0199-8DOI Listing
February 2017
44 Reads

[The 452th case: rash, hypotension, abdominal pain and headache].

Zhonghua Nei Ke Za Zhi 2016 Sep;55(9):741-4

Department of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing 100730, China.

Systemic lupus erythematosus (SLE) is an autoimmune disease characterized with multiple organ involvements. Acute acalculous cholecystitis(AAC) is an extremely rare manifestation of digestive system involvement in SLE. We reported a case of 32-year-old woman who complained skin rashes for two weeks and stomachache and oliguria for one day. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0578-1426.2016.09.020DOI Listing
September 2016
6 Reads

Fluid Management for Critically Ill Patients: A Review of the Current State of Fluid Therapy in the Intensive Care Unit.

Kidney Dis (Basel) 2016 Jun 18;2(2):64-71. Epub 2016 May 18.

Division of Nephrology and Hypertension, Department of Medicine, Mayo Clinic, Rochester, Minn., USA; Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic, Rochester, Minn., USA.

Background: Intravenous fluids (IVF) are frequently utilized to restore intravascular volume in patients with distributive and hypovolemic shock. Although the benefits of the appropriate use of fluids in intensive care units (ICUs) and hospitals are well described, there is growing knowledge regarding the potential risks of volume overload and its impact on organ failure and mortality. To avoid volume overload and its associated complications, strategies to identify fluid responsiveness are developed and utilized more often among ICU patients. Read More

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http://dx.doi.org/10.1159/000446265DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4947688PMC
June 2016
4 Reads

The Diagnosis and Hemodynamic Monitoring of Circulatory Shock: Current and Future Trends.

J Crit Care Med (Targu Mures) 2016 Jul 10;2(3):115-123. Epub 2016 Aug 10.

Ph.D Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.

Circulatory shock is a complex clinical syndrome encompassing a group of conditions that can arise from different etiologies and presented by several different hemodynamic patterns. If not corrected, cell dysfunction, irreversible multiple organ insufficiency, and death may occur. The four basic types of shock, hypovolemic, cardiogenic, obstructive and distributive, have features similar to that of hemodynamic shock. Read More

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http://dx.doi.org/10.1515/jccm-2016-0018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5953246PMC
July 2016
21 Reads

[Cardiac hemodynamics during shock : Management in daily clinical routine].

Authors:
A Kersten

Med Klin Intensivmed Notfmed 2016 Oct 17;111(7):590-595. Epub 2016 Jun 17.

Medizinische Klinik I, Uniklinik RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland.

In caring for critically ill patients, a sophisticated approach to treating hemodynamic instability in acute circulatory failure is a major concern of modern critical care. Depending on the form of shock-distributive, cardiogenic, hypovolemic or obstructive, with the possibility of overlapping forms of shock-preload, afterload, cardiac output, and contractility are altered in various ways. Modern critical care uses hemodynamic monitoring and bedside echocardiography in addition to clinical evaluation to treat the underlying cause and sequelae of shock. Read More

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http://dx.doi.org/10.1007/s00063-016-0168-6DOI Listing
October 2016
3 Reads

The use of angiotensin II in distributive shock.

Crit Care 2016 May 27;20(1):137. Epub 2016 May 27.

Department of Intensive Care Medicine, Prince Sultan Military City, Kingdom of Saudi Arabia.

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http://dx.doi.org/10.1186/s13054-016-1306-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4882778PMC
May 2016
18 Reads