Understanding Shock Mechanisms in Critical Care Medicine
Explore a detailed overview of various shock mechanisms in critical care medicine through a series of informative slides. From historical perspectives to modern understandings, dive into the intricacies of shock physiology and management.
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Presentation Transcript
Le Dran secousse 1743. Crile 1899 . Wiggers . William Shoemaker . XX 4
. , *. , **. * , *Kumar and Parillo 1995 **Jean Louis Vincent 2013 5
DO2i = CaO2 x CI x 10 VO2i = C(a-v)O2 x CI x 10 ExO2 = VO2 / DO2 13
DO2- - 600 ml/m2/min VO2 - - 115-165 ml/m2/min ExO2 - - 22-33% CaO2- - 17-20 vol% C(a-v)O2- - - 4 vol% CI - - 2.5 - 4.5 l/m2/min 14
/ (VO2) 200 ml/min 1000 ml/min 600 ml/min (DO2) Mizock BA. Crit Care Med. 1992;20:80-93. 15
/ (VO2) , (DO2) Mizock BA. Crit Care Med. 1992;20:80-93. 16
* : *Hinshaw LB, Cox BG: The Fundamental Mechanisms of Shock. New York, Plenum Press, 1972. 17
NB ! . , , . 21
