Paediatric cardiogenic shock

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Originally from https://resources.wfsahq.org/uia/vol-37-paediatrics-special-edition/ | Update in Anaesthesia

Gavin Wooldridge*, Janvier Hitayezu and Padmavathy Venkatasubbu

Janvier Hitayezu  Pediatric Emergency & Critical Care Fellowship University of Nairobi Nairobi KENYA The University Teaching Hospital of Kigali (CHUK) Kigali RWANDA

Gavin Wooldridge* Royal Hospital for Children Glasgow UK

Padmavathy Venkatasubbu Royal Children’s Hospital Melbourne AUSTRALIA

*Correspondence email: gfwooldridge@gmail.com

doi:10.1029/WFSA-D-19-00022

Abstract

Shock is a state of acute circulatory failure characterised by tissue perfusion inadequate to meet the needs of the body. It rapidly leads to multi-organ failure and death if not recognised and treated early. In its simplest form, cardiogenic shock is considered “pump failure” with structural heart disease, arrhythmias and myocarditis recognised causes in children. Maximizing myocardial performance by optimising the preload, contractility and minimising afterload and enhancing systemic oxygen delivery are essential in the treatment of this high mortality condition.

Key words:
shock; cardiogenic; paediatric