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Shock, Resuscitation, and Fluid Therapy Strategies in Acute Care Surgery: From Pathophysiology to Practice

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Book cover Intensive Care for Emergency Surgeons

Part of the book series: Hot Topics in Acute Care Surgery and Trauma ((HTACST))

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Abstract

Hypovolemia and shock are commonly encountered by acute care surgeons caring for the critically ill. In addition to the shock associated with many surgical conditions, a number of interventions potentiate hypovolemia and/or contribute to the inflammatory and immune dysregulation common to shock states. By understanding oxygen kinetics, the cellular response to dysoxia, and fluid physiology, the surgeon can more readily identify shock, restore homeostasis and provide patients with the best chances of achieving optimal outcomes. Over the last few decades, the strategies that guide the care of patients with hypovolemia, septic shock, and hemorrhagic shock have dramatically changed. Therefore, this chapter also presents the evolution of and evidence for modern fluid resuscitation strategies and offers pragmatic approaches to goal-directed fluid therapy.

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Authors and Affiliations

  1. Department of Surgery, Harborview Medical Center, University of Washington, Seattle, WA, USA

    Barclay T. Stewart & Ronald V. Maier

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  1. Barclay T. Stewart
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  2. Ronald V. Maier
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Correspondence to Ronald V. Maier .

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Editors and Affiliations

  1. Department of Anesthesia and Intensive Care, Parma University Hospital, Parma, Italy

    Edoardo Picetti

  2. Division of Trauma, Department of Surgery, University of Campinas, Campinas, São Paulo, Brazil

    Bruno M. Pereira

  3. Department of Surgery, McGill University, Montreal, QC, Canada

    Tarek Razek

  4. Department of Surgery/ Division of Trauma, Burns, Critical and Acute Care, Weill Cornell Medicine/ New York-Presbyterian Hospital, New York, USA

    Mayur Narayan

  5. Department of Surgery, Tel Aviv University, Tel Aviv, Israel

    Jeffry L. Kashuk

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Stewart, B.T., Maier, R.V. (2019). Shock, Resuscitation, and Fluid Therapy Strategies in Acute Care Surgery: From Pathophysiology to Practice. In: Picetti, E., Pereira, B., Razek, T., Narayan, M., Kashuk, J. (eds) Intensive Care for Emergency Surgeons. Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-030-11830-3_9

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