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shock trials

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3.1.11 - Shock
from Section 3.1 - Cardiac and Circulatory Failure
- By Michael Hoy
Edited by Ned Gilbert-Kawai, The Royal Liverpool Hospital, Debashish Dutta, Princess Alexandra Hospital NHS Trust, Harlow, Carl Waldmann, Royal Berkshire Hospital, Reading
Book:

Intensive Care Medicine

Published online:

27 July 2023

Print publication:

01 December 2021, pp 132-136
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Summary

Key Learning Points
1. Shock may be classified as cardiogenic, hypovolaemic, distributive or obstructive.
2. The most common cause of shock in the UK is sepsis.
3. The aetiology of shock is important to distinguish as specific treatments may vary.
4. Fluid resuscitation underpins a lot of shock management guidelines but appears to be associated with higher vasopressor requirements.
5. The optimum blood pressure will be patient-specific, but normophysiologic values are not evidence-based.