Presentation on theme: "Dr. Abdullah M. Kaki, MB ChB, FRCPC"— Presentation transcript:
1Dr. Abdullah M. Kaki, MB ChB, FRCPC ShockDr. Abdullah M. Kaki, MB ChB, FRCPCDepartment of Anesthesia, Faculty of Medicine, King Abdulaziz University
2Objectives of the Lecture To provide an up-to-date understanding of the types of shockTo understand the current pathophysiology of shockTo discuss some therapeutic options for shock
3Definition French term , Choc (Le Dran- 1743) Systemic derangement in tissue perfusion leading to wide spread of cellular hypoxia and vital organs dysfunction.
437 yr male involved in RTA,(driver), brought to ER by Paramedics BP 90/50 mmHg, HR 120/min, RR 28/minPerfuse sweating, pallor, tenderness over chest & upper abdomenWhat is wrong with him? D Dx?What LAB investigation is required for the Dx?What is your plan for treatment?
552 yr Diabetic female patient admitted with foot ulcer for debridement 52 yr Diabetic female patient admitted with foot ulcer for debridement. 2 days later pt developed fever, confusion and they called you to assess the patient.What is your approach?What is plan for treatment?
622 yr male patient came to ER with renal colic, your colleague prescribed an antibiotic & pain killer for him.On administration of his medicine,he collapses.What is your approach?
775 year old female admitted to the hospital 4 days ago with chest pain, S.O.B., diagnosed as MI & was started.Early this morning the patient developed hypotension, tachycardia, SOBWhat is wrong with her?
8Types of ShockHypovolemicDistributiveObstructiveCardiogenic
13The mainstay of shock therapy Improving Oxygen Delivery: (by raising hemoglobin concentration, cardiac output, or arterial saturation).Reduce Oxygen Consumption.Identify and treat the precipitants of hypoperfusion.
14Therapeutic Options Early Diagnosis Need for ICU Identification of CausePrevention:*Aseptic Technique * Monitoring*Perioperative Antibiotics *Vaccination
15Fluid Resuscitation Colloids vs Crystalloids Fluid replacement Augmentation of SVFluidInotropesVasodilators
16Future DirectionsBetter Outcome: Advanced monitoring and ICU facilities.More patients: elderly, major surgeries, more infection & more invasive devices.Outlook is bright as we are unrevealing the secrets of shock.