Shock Cardiogénico en Niños

14 mayo, 2010 at 20:37 Deja un comentario

“For the myriad practitioners who come into contact with critically ill children, the term
“shock” has acquired a unique lexicon. For example, a call to our pediatric intensive care
unit from a community emergency department physician was highlighted by the com-
ment: “I have a lethargic 3-month-old who looks ‘shocky’ to me.” A frantic page from one
of our residents led to this exchange: “We have a 2-year-old down here who is developing
diffuse petechiae—she really looks ‘septic’.” A 16-year-old admitted for worsening respi-
ratory distress and an increasing oxygen requirement underwent echocardiography, which
was read by the cardiologist as a “moderate-size pericardial effusion with no evidence of
either right atrial compression or cardiac tamponade.” Are these physicians talking about
different pathophysiologic entities in their respective patients? Not really. Each simply is
describing one of the protean manifestations of a diverse and complex syndrome: circula-
tory shock.

Circulatory Shock in Children Christine A. McKiernan and Stephen A. Lieberman Pediatr. Rev. 2005;26;451-460

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