Presentation on theme: "Dr. Abdullah M. Kaki, MB ChB, FRCPC"— Presentation transcript:
1 Dr. Abdullah M. Kaki, MB ChB, FRCPC ShockDr. Abdullah M. Kaki, MB ChB, FRCPCDepartment of Anesthesia, Faculty of Medicine, King Abdulaziz University
2 Objectives 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
3 Definition French term , Choc (Le Dran- 1743) Systemic derangement in tissue perfusion leading to wide spread of cellular hypoxia and vital organs dysfunction.
4 37 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?
5 52 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?
6 22 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?
7 75 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?
8 Types of ShockHypovolemicDistributiveObstructiveCardiogenic
13 The 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.
14 Therapeutic Options Early Diagnosis Need for ICU Identification of CausePrevention:*Aseptic Technique * Monitoring*Perioperative Antibiotics *Vaccination
15 Fluid Resuscitation Colloids vs Crystalloids Fluid replacement Augmentation of SVFluidInotropesVasodilators
16 Future 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.