Prevention and management of critical care complications in cardiogenic shock: a narrative review.

IF 3.8 2区 医学 Q1 CRITICAL CARE MEDICINE Journal of Intensive Care Pub Date : 2023-07-06 DOI:10.1186/s40560-023-00675-2
Jin Kirigaya, Noriaki Iwahashi, Kengo Terasaka, Ichiro Takeuchi
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引用次数: 3

Abstract

Background: Cardiogenic shock (CS) is a common cause of morbidity and mortality in cardiac intensive care units (CICUs), even in the contemporary era.

Main text: Although mechanical circulatory supports have recently become widely available and used in transforming the management of CS, their routine use to improve outcomes has not been established. Transportation to a high-volume center, early reperfusion, tailored mechanical circulatory supports, regionalized systems of care with multidisciplinary CS teams, a dedicated CICU, and a systemic approach, including preventing noncardiogenic complications, are the key components of CS treatment strategies.

Conclusions: This narrative review aimed to discuss the challenges of preventing patients from developing CS-related complications and provide a comprehensive practical approach for its management.

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心源性休克危重症并发症的预防和处理:叙述性综述。
背景:心源性休克(CS)是心脏重症监护室(CICU)发病率和死亡率的常见原因,即使在当代也是如此。正文:尽管机械循环支持最近已被广泛使用,并用于改变CS的管理,但其改善结果的常规用途尚未确定。运送到高容量中心、早期再灌注、量身定制的机械循环支持、多学科CS团队的区域化护理系统、专门的CICU和系统性方法,包括预防非心源性并发症,是CS治疗策略的关键组成部分。结论:这篇叙述性综述旨在讨论预防患者发生CS相关并发症的挑战,并为其管理提供一种全面实用的方法。
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来源期刊
Journal of Intensive Care
Journal of Intensive Care Medicine-Critical Care and Intensive Care Medicine
CiteScore
11.90
自引率
1.40%
发文量
51
审稿时长
15 weeks
期刊介绍: "Journal of Intensive Care" is an open access journal dedicated to the comprehensive coverage of intensive care medicine, providing a platform for the latest research and clinical insights in this critical field. The journal covers a wide range of topics, including intensive and critical care, trauma and surgical intensive care, pediatric intensive care, acute and emergency medicine, perioperative medicine, resuscitation, infection control, and organ dysfunction. Recognizing the importance of cultural diversity in healthcare practices, "Journal of Intensive Care" also encourages submissions that explore and discuss the cultural aspects of intensive care, aiming to promote a more inclusive and culturally sensitive approach to patient care. By fostering a global exchange of knowledge and expertise, the journal contributes to the continuous improvement of intensive care practices worldwide.
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