The Nature of Irreversible Shock

Lillehei, Richard C.; Longerbeam, Jerrold K.; Bloch, Jack H.; Manax, William G.

doi:10.1097/00000658-196410000-00012

Cited by 294 publications

(23 citation statements)

References 17 publications

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“…Bu farklılığın nedeni, KPB sırasında kanın nonendotelial yüzeye temas etmesi ve kan hücrelerinin duvarında sürtünmeye bağlı değişikliklerin oluşması (shear stres), uygun olmayan substratların salınmasına ve akımın non pulsatil olmasına bağlıdır. KPB, oluştur-duğu bu patofizyolojik değişiklikler nedeni ile sepsise benzetilmekte (17) ve neden olduğu bu sistemik inflamatuvar yanıt, postoperatif ciddi komplikasyonların gelişmesine neden olabilmektedir (18,19) . Kalp cerrahisi sonrası ilk 24 saat içinde kan volümünün ve plazma volümünün azaldığı bilinen bir gerçektir (20) .…”

Section: Kolloi̇d Solüsyonlarunclassified

Fluid and Electrolyte Therapy in Cardiac Surgery

Toraman¹

2013

GKDA Derg

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Section: Kolloi̇d Solüsyonlarunclassified

Fluid and Electrolyte Therapy in Cardiac Surgery

Toraman¹

2013

GKDA Derg

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“…In this procedure [9][10][11][12][13][14][15][16] an artery is connected to a constant pressure reservoir which maintains a constant and predetermined systemic arterial pressure during the whole hypotensive period.…”

Section: The Constant Pressure Reservoir Proceduresmentioning

confidence: 99%

Experimental hemorrhagic shock in dogs: Standardization

1983

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The purpose of the present study was to design a standardized model of hemorrhagic shock in dogs as a prerequisite for future studies on the pathogenesis of this syndrome. Hemorrhagic shock was induced in 86 mongrel dogs submitted to a systemic hypotension of 45 mm Hg by means of a constant pressure reservoir procedure. The following blood volumes (ml/kg) were measured during the evolution of shock: (1) initial bleeding volume, (2) secondary bleeding volume, (3) maximum bleeding volume, (4) automatic reinfusion volume, and (5) duration of the hypotensive period (min). The corresponding mortalities were submitted to a statistical analysis which yielded the following conclusions: (a) the initial, secondary, and maximum bleeding volumes do not correlate with mortality, (b) the duration of the hypotensive period is of only relative importance, and (c) the automatic reinfusion volumes shows a high degree correlation with the fatal outcome.

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“…Use of steroids is particularly important in septic shock, and most writers advise the early use of these agents in this situation. 11 The work of Webb and associates 12 suggests that the use of pharmacologic doses of steHypernatremia, is not uncommon in shock, and serum sodium levels should be determined early.…”

Section: Central Venous Pressure Monitoring and Myocardial Functionmentioning

confidence: 99%

Clinical Guides to Therapy of Shock

Mansberger

1970

Postgraduate Medicine

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The Nature of Irreversible Shock

Cited by 294 publications

References 17 publications

Fluid and Electrolyte Therapy in Cardiac Surgery

Fluid and Electrolyte Therapy in Cardiac Surgery

Experimental hemorrhagic shock in dogs: Standardization

Clinical Guides to Therapy of Shock

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