ICU Vivas · Shock states
Clinical viva — your approach to the patient in shock
A clinical viva on the structured approach to shock — the recognition and the four types, the restoration of the delivery to the failed determinant, the vasopressor choice (norepinephrine first-line), the MAP-65 target, and the perfusion endpoints.
On this page
Study tools
Target exams
CICMFFICMEDIC
Prompt
A clinical viva on the structured approach to shock — the recognition and the four types, the restoration of the delivery to the failed determinant, the vasopressor choice (norepinephrine first-line), the MAP-65 target, and the perfusion endpoints.
The question
"Take me through your approach to a patient who presents in shock."[3]
References3ShowHide
- [1]Reynolds HR, Hochman JS. Cardiogenic shock: current concepts and improving outcomes. Circulation, 2008.PMID 18250279
- [2]De Backer D, Biston P, Devriendt J, et al. Comparison of dopamine and norepinephrine in the treatment of shock (SOAP II). New England Journal of Medicine, 2010.PMID 20200382
- [3]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.