Open AccessEND POINTS IN RESUSCITA TION OF SHOCK: UNDERST ANDING THE EVOLUTION
Author(s) -
Digvijay S. Timilsina,
PC Majhi,
Surinder Nath Bawa
Publication year - 2004
Publication title -
journal of nepal medical association
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.176
H-Index - 19
eISSN - 1815-672X
pISSN - 0028-2715
DOI - 10.31729/jnma.594
Subject(s) - resuscitation , medicine , shock (circulatory) , phase (matter) , perfusion , intensive care medicine , cardiology , surgery , quantum mechanics , physics
In the last two decades resuscitation strategies have gone through revolutionary changes. Ideas once heldsacred have been questioned and the very foundations on which these strategies were based shaken.Resuscitation strategies basically revolve around three questions:1. How much?2. How fast?3. When to stop?Evolutions of shocked patient management concepts show three distinct phases.• Phase 1 – Clinical parameter based.• Phase 2 – Oxygen variables based.• Phase 3 – Cellular perfusion based.Accepted criteria for endpoints of resuscitation too have undergone similar changes in paradigm and canbe grouped under similar phases.Key Words: Shock, Clinical parameter, cellular perfusion, resuscitation.