Universität zu Köln

Emmel, M., Hoffmann, F., Dohna-Schwake, C., Standl, T. and Menzel, C. (2020). Shock in childhood-many causes and difficult to recognize Definition and characteristics in childhood. Mon.schr. Kinderheilkd., 168 (2). S. 118 - 130. NEW YORK: SPRINGER. ISSN 1433-0474

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Abstract

The severity and temporal course of shock are often underestimated in childhood. It represents a threatening situation in which the oxygen needs of important organs cannot be covered due to the circulatory collapse. In cases of inadequate or delayed initiation of treatment it is associated with a high mortality, especially in children; this can result in secondary organ damage up to multiorgan failure. The lengthened capillary refill time (CRT) is a very specific and early sign of centralization, whereas the blood pressure values in childhood can remain normal for a long time despite severe shock through an increase of the peripheral resistance. Shock is classified into hypovolemic, distributive, cardiogenic and obstructive shock, according to the underlying mechanism. It has to be treated promptly whereby the individual forms of shock each need a differentiated treatment. When the etiology is unclear the initial treatment measures are fluid resuscitation and administration of catecholamine.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Emmel, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hoffmann, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Dohna-Schwake, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Standl, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Menzel, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-347515
DOI:	10.1007/s00112-019-00835-5
Journal or Publication Title:	Mon.schr. Kinderheilkd.
Volume:	168
Number:	2
Page Range:	S. 118 - 130
Date:	2020
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-0474
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SEPTIC SHOCK; HEMODYNAMIC SUPPORT; TRAUMATIC INJURIES; AMERICAN-COLLEGE; CHILDREN; MORTALITY; RESUSCITATION; SEPSIS; ANAPHYLAXIS; GUIDELINES Multiple languages Pediatrics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/34751