RESUMO
Shock, or tissue hypoperfusion, is a frequent complication from traumatic injury. Despite the etiology of the shock state, there is always some component of hypovolemia. The body's innate ability to compensate for impaired perfusion may mask clinical signs, leading to delays in treatment. This article presents an overview of these compensatory mechanisms and resuscitation strategies from the vantage point of routine hemodynamic monitoring.
Assuntos
Monitorização Fisiológica/métodos , Ressuscitação/métodos , Choque Traumático/terapia , Hemodinâmica , Hemorragia/fisiopatologia , Humanos , Hipovolemia/fisiopatologia , Isquemia/fisiopatologia , Oxigênio/metabolismo , Choque Traumático/fisiopatologiaRESUMO
Interhospital transport of the adult mechanically ventilated patient may be necessary for those who require specialized care. An experienced medical team can safely transport even the most critically ill patients if the care is optimized before departure. Patients with severe respiratory failure may have to remain on an ICU ventilator throughout the transport period, depending on the specific transport ventilator. Near-terminal ARDS can be treated with ECLS, and these patients also may be safely transported to a regional center.
