Becoming a Resuscitationist

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Optimize preload:

Maintain intravascular volume: 

• Capillary leak

• Osmotic pressure (Fluid Resuscitation)

• Oncotic pressure (Gibbs-Donnan effect)

Maintain venous return:

• Mean systemic filling pressure

• Stressed and unstressed volume

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Optimize contractility​

• Choosing inotropes

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Optimize afterload:

Maintain appropriate MAP:

• Vasoplegia/Inflammatory vasodilation

• Choosing vasopressors

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Treating Specific Shock Subtypes:

• Distributive Shock

• Cardiogenic Shock

• Hypovolemic Shock

• Obstructive Shock

• Cirrhotic Shock​

 

 

 

 

 

 

 

 

 

 

 

 

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