Çocuklarda Kardiyojenik Şoka Güncel Yaklaşım

Year 2020, Volume: 8 Issue: 1, 28 - 32, 30.04.2020

Çağlasu Esatoğlu , Ahmet Sert

Abstract

Miyokardiyal kasılmanın bozulmasına bağlı gelisen bir akut dolaşım yetmezliği olarak tanımlanan kardiyojenik şok; yetişkinlerden daha sık iken çocuklarda çok nadir görülmektedir. Şokun erken belirtilerini tanıma, yönetim prensipleri ve tedavi hedefleri, hemodinamik ve biyolojik değişkenleri izleme ve takip etme ve dolaşım desteği kardiyojenik şoklu çocuklarda yapılacak uygulamaların ana basamaklarıdır. Kardiyojenik şoklu çocuklarda tedavinin temel prensibi primer olarak klinik ve ekokardiyografik değerlendirmeye dayalıdır. Kardiyojenik şok nedeniyle yatırılarak tedavi edilen hastalar mutlaka çocuk yoğun bakım şartlarında uzman ekip kontrolünde takip edilmelidir. Bu ekipte pediatrik kardiyoloji, pediatrik acil, kalp damar cerrahisi ve radyoloji branşları yer almaktadır. Bu derleme ile güncel pediatrik kardiyojenik şoka yaklaşım gözden geçirilmesi amaçlanmıştır.

Keywords

kardiojenik şok, çocukluk çağı, tedavi

Current Approach to Cardiogenic Shock in Children

Abstract

Cardiogenic shock which corresponds to an acute state of circulatory failure due to impairment of myocardial contractility is a very rare disease in children, even more than in adults. Recognition of early signs of shock, management principles and therapeutic goals, monitoring hemodynamic and biological variables, circulatory support are the main steps of applications to be made in children with cardiogenic shock. Hospitalized children with cardiogenic shock should be followed in an intensive care unit by an expert team. Pediatric cardiology, pediatric emergency, cardiac surgery and radiology departments should be included in this team. The aim of this study is to review current approch to pediatric cardiogenic shock.

Keywords

Cardiogenic shock, childhood, therapy

References

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Çocuklarda ekstrakorporeal membran oksijenatör kullanımı Gülhane Askeri Tıp Akademisi, Kalp ve Damar Cerrahisi Anabilim Dalı, Ankara