SciELO - Scientific Electronic Library Online

 
vol.42 número1Cirugía videolaparoscópica en urgenciasDe la "Medicina basada en la opinión" a la "Medicina basada en la evidencia" índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

  • No hay articulos citadosCitado por SciELO

Links relacionados

  • No hay articulos similaresSimilares en SciELO

Compartir


Revista Cubana de Cirugía

versión impresa ISSN 0034-7493versión On-line ISSN 1561-2945

Resumen

LOPEZ RODRIGUEZ, Marta Sofía  y  AREU REGATEIRO, Alejandro Jesús. Shock, ¿qué hay de nuevo?. Rev Cubana Cir [online]. 2003, vol.42, n.1. ISSN 0034-7493.

Shock is a commom syndrome originated by different causes that starts with a decrease of histic perfusion, where macrocirculation has a critical function. In recent studies, emphasis has been made on the fact that therapeutics should be immediate in the face of this life menace and should include respiratory support, circulatory support, metabolic monitoring, hemodynamics and specific treatment. The use of crystalloids versus colloids is controversial and depends on the medical criterion. The usefulness of amrinone (ionotrope), mainly in patients with septic shock, and of vasopressin as a vasopressor is proved. The monitoring of the plasmatic concentration of the lactic acid is necessary due to its relation with mortality from shock. The mortality from septic shock is still high, in spite of the multiple investigations made. The recent utilization of nitric oxide synthase (S methyl-isothiourea) inhibitors seems to be encouraging on inhibiting the inductible isoform (iNOS), the same as immunotherapy, but new studies are necessary to evaluate its clinical efficiency

Palabras clave : SHOCK [mortality]; SHOCK [therapy]; SHOCK, SEPTIC [mortality]; SHOCK, SEPTIC [therapy]; VENTILATION-PERFUSION RATIO; COMBINED MODALITY THERAPY; COLLOIDS [therapeutic use]; IMMUNOTHERAPY.

        · resumen en Español     · texto en Español

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons