Abstract
For maximal effectiveness, therapy should be directed against the basic underlying pathophysiologic mechanisms and toward optimal physiologic values. Therapy should be given vigorously in the early stages where it is most effective, as no amount of belated therapy can be expected to compensate for previous failure to recognize the insidious onset of shock. The major problems are to define with precision the pathophysiologic mechanisms and the therapeutic goals so that the therapy may be given in the optimal order and be titrated to ensure maximal survival.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Shoemaker, W. C. (1972). Cardiorespiratory patterns in clinical shock as physiologic criteria for therapy and early warning of death. In: Advances in Automated Analysis. Vol. 2: 15–22. Tarrytown, New York: Medical Inst.
Shoemaker, W. C. (1971). Cardiorespiratory patterns in complicated and uncomplicated septic shock. Ann. Surg. 174:119.
Shoemaker, W. C. (1973). Pathophysiologic basis of therapy for shock and trauma syndromes. Semin. Drug Treat. 5:211.
Shoemaker, W. C., Boyd, D. M., Kim, S. I., Brown, R. S., Dreiling, D. A., and Kark, A. E. (1971). Sequential oxygen transport and acid-base changes after trauma to the unanesthetized patient. Surg. Gynec. Obstet. 752:1023.
Shoemaker, W. C., Carey, J. S., Yao, S. T., Mohr, P. A., Amato, J. J., Printen, K. J., Corley, R. D., and Monson, D. O. (1970). Hemodynamic alterations in acute cardiac tamponade after penetrating injuries of the heart. Surg. 67:754.
Shoemaker, W. C., Elwyn, D., Levin, H., and Rosen, A. L. (1974). Use of nonparametric analysis of cardiorespiratory variables as early predictors of death and survival in postoperative patients. J. Surg. Res. 77:301.
Shoemaker, W. G., Lim, L., Boyd, D. M., Corley, R. S., Reinhard, J. M., Dreiling, D. A., and Kark, A. E. (1971). Sequential hemodynamic events after trauma to the unanesthetized patient. Surg. Gynec. Obstet. 752:651.
Shoemaker, W. C., Montgomery, E. S., Elwyn, D. H., Levin, H., and Rosen, A. L. Early prediction of death and survival by prospective analysis of cardiorespiratory variables in postoperative shock patients. Curr. Topics Crit. Care Med. 2:44–59, 1977.
Shoemaker, W. C., Montgomery, E. S., Kaplan, E., and Elwyn, D. H. (1973). Physiologic patterns in surviving and nonsurviving shock patients. Arch. Surg. 106:630.
Shoemaker, W. C., Printen, K. J., and Amato, J. J. (1967). Hemodynamic patterns after acute anesthetized and unanesthetized trauma. Arch. Surg. 951:492.
Weil, M. H., and Shubin, H. (1966). Diagnosis and Treatment of Shock. Baltimore, Williams and Wilkins.
Wilson, R. F., Jablonski, D. V., and Thai, A. P. (1964). The usage of dibenzyline in clinical shock. Surgery 56:112.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 1978 Springer-Verlag New York Inc.
About this chapter
Cite this chapter
Shoemaker, W.C. (1978). Treatment of Shock and Trauma States: Use of Cardiorespiratory Patterns to Define Therapeutic Goals, Predict Survival, and Titrate Therapy. In: Critical Care Medicine Manual. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-9932-5_9
Download citation
DOI: https://doi.org/10.1007/978-1-4612-9932-5_9
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4612-9934-9
Online ISBN: 978-1-4612-9932-5
eBook Packages: Springer Book Archive