Shock hemorragico

Shock Hemorrágico Carlos Mario Mesa Fundación Clínica Abood Shaio Unidad de Cuidado Intensivo

Definición ,[object Object],[object Object],[object Object],[object Object]

Consideraciones ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Gutiérrez G, H David Reines Clinical Review:Hemorragic shock Critical Care 2004, 8:373-381

Consideraciones fisiopatológicas ,[object Object],[object Object],[object Object],[object Object]

Clasificación de la hemorragia Gutiérrez G, H David Reines Clinical Review:Hemorragic shock Critical Care 2004, 8:373-381

Criterios hemorragia masiva ,[object Object],[object Object],Gutiérrez G, H David Reines Clinical Review:Hemorragic shock Critical Care 2004, 8:373-381

Perdida sanguínea calculada ,[object Object],[object Object],[object Object],[object Object],[object Object],Gutiérrez G, H David Reines Clinical Review:Hemorragic shock Critical Care 2004, 8:373-381

Manifestaciones en el transporte de oxigeno ,[object Object],[object Object],[object Object],[object Object],[object Object],Gutiérrez G, H David Reines Clinical Review:Hemorragic shock Critical Care 2004, 8:373-381

Hipoperfusión ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Gutiérrez G, H David Reines Clinical Review:Hemorragic shock Critical Care 2004, 8:373-381

Microcirculación y hemorragia ,[object Object],[object Object],[object Object],Gutiérrez G, H David Reines Clinical Review:Hemorragic shock Critical Care 2004, 8:373-381

Hemorragia masiva ,[object Object],[object Object],[object Object]

Anemia isovolémica ,[object Object],[object Object],[object Object],Gutiérrez G, H David Reines Clinical Review:Hemorragic shock Critical Care 2004, 8:373-381

Cambios en el consumo de oxigeno Gutiérrez G, H David Reines Clinical Review:Hemorragic shock Critical Care 2004, 8:373-381

Compensación celular ,[object Object],[object Object],Gutiérrez G, H David Reines Clinical Review:Hemorragic shock Critical Care 2004, 8:373-381

Compensación celular ,[object Object],[object Object],[object Object],[object Object]

Shock no compensado Gutiérrez G, H David Reines Clinical Review:Hemorragic shock Critical Care 2004, 8:373-381 ATP Demanda >Oferta Alteración en la regulación de Ca y Na Pérdida integridad de la membrana ,[object Object],[object Object],[object Object],MUERTE CELULAR

Respuesta sistémica a la pérdida de sangre ,[object Object],[object Object],[object Object],[object Object],[object Object],Sangrado

Objetivos finales ,[object Object],[object Object],Gutiérrez G, H David Reines Clinical Review:Hemorragic shock Critical Care 2004, 8:373-381

Respuesta sistémica ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Gutiérrez G, H David Reines Clinical Review:Hemorragic shock Critical Care 2004, 8:373-381

Consideraciones clínicas ,[object Object],[object Object],[object Object],[object Object]

Causas de shock Gutiérrez G, H David Reines Clinical Review:Hemorragic shock Critical Care 2004, 8:373-381

Determinar el sangrado aproximado Gutiérrez G, H David Reines Clinical Review:Hemorragic shock Critical Care 2004, 8:373-381

Historia ,[object Object],[object Object],[object Object],[object Object]

Historia ,[object Object],[object Object],[object Object],[object Object],[object Object]

Reanimación ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Puntos en discusión ,[object Object],[object Object],[object Object]

Solución salina ,[object Object],[object Object]

Consecuencias de reanimación agresiva ,[object Object]

Solución salina hipertónica ,[object Object],[object Object],Gutiérrez G, H David Reines Clinical Review:Hemorragic shock Critical Care 2004, 8:373-381

Substitutos de la sangre ,[object Object],[object Object]

Cuando transfundir ,[object Object],[object Object],Gutiérrez G, H David Reines Clinical Review:Hemorragic shock Critical Care 2004, 8:373-381

Complicaciones asociadas a la transfusión ,[object Object],[object Object],[object Object],[object Object]

Indicación ,[object Object],[object Object],[object Object],[object Object],[object Object]

Objetivos ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Gutiérrez G, H David Reines Clinical Review:Hemorragic shock Critical Care 2004, 8:373-381

Metas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Measurement of acid-base resuscitation endpoints : lactate , base deficit, bicarbonato or what . Michael S Englehart and Martin A Schreiber Current Opinion in Critical Care 12 : 569-574 2006.

Metas ,[object Object],[object Object],[object Object],[object Object],Measurement of acid-base resuscitation endpoints : lactate , base deficit, bicarbonato or what . Michael S Englehart and Martin A Schreiber Current Opinion in Critical Care 12 : 569-574 2006.

Base exceso ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Transporte de oxigeno ,[object Object],[object Object],[object Object],[object Object],Measurement of acid-base resuscitation endpoints : lactate , base deficit, bicarbonato or what . Michael S Englehart and Martin A Schreiber Current Opinion in Critical Care 12 : 569-574 2006.

Shock hemorragico

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