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Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
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Critical Heart Failure and Shock

Ronald A Bronicki1, Mary Taylor, Harris Baden

  • 11Department of Pediatrics, Critical Care Medicine and Cardiology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX. 2Department of Pediatrics, Critical Care Medicine and Cardiology, University of Mississippi Medical Center, Batson Children's Hospital, Jackson, MS. 3Department of Pediatrics, Critical Care Medicine, University of Washington School of Medicine, Seattle Children's Hospital, Seattle, WA.

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
|August 5, 2016
PubMed

Insights

This review covers shock management in children, focusing on circulatory physiology and pharmacologic strategies to optimize oxygen delivery. Understanding shock pathophysiology is crucial for effective assessment and improved patient outcomes.

Area of Science:

  • Pediatric critical care medicine
  • Cardiovascular physiology
  • Pharmacology

Background:

  • Shock is a critical condition requiring understanding of circulatory physiology.
  • Effective management hinges on assessing cardiac function and tissue oxygenation.
  • Optimizing oxygen delivery and consumption is key to improving outcomes.

Purpose of the Study:

  • To review the clinical assessment, pathophysiology, and management of shock in children.
  • To emphasize circulatory physiology, cardiopulmonary interactions, and pharmacologic strategies.
  • To apply these principles to pediatric heart failure and cardiogenic shock.

Main Methods:

  • Literature review of MEDLINE and PubMed databases.
  • Synthesis of information on shock pathophysiology and management.
  • Application of physiological principles to pediatric clinical syndromes.

Main Results:

  • Detailed discussion of shock assessment and underlying pathophysiology.
  • Exploration of pharmacologic interventions to enhance systemic oxygen delivery.
  • Emphasis on the interplay between circulatory and cardiopulmonary systems.

Conclusions:

  • Understanding circulatory physiology and shock pathophysiology is essential for managing at-risk children.
  • Accurate assessment of cardiac output and tissue oxygenation is critical.
  • Optimizing the balance between oxygen delivery and consumption improves patient outcomes.
Abstract

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