循環器ジャーナル70巻4号

2022年10月発行

特集 循環器救急診療・集中治療を極める Ⅶ．ショックを集中治療する

ショック

著者： 田原良雄¹

所属機関： ¹国立循環器病研究センター心臓血管内科部門

ページ範囲：P.631 - P.636

Point
・ショックの初期評価と初期診療は迅速に行う．
・ショックの初期管理と治療目標を知る．

参考文献

1）Vincent JL, De Backer D : Circulatory shock. N Engl J Med 369 : 1726-1734, 2013

2）Sakr Y, Reinhart K, Vincent JL, et al : Does dopamine administration in shock influence outcome? Results of the Sepsis Occurrence in Acutely Ill Patients（SOAP）Study. Crit Care Med 34 : 589-597, 2006

3）Vincent JL, Ince C, Bakker J : Circulatory shock-an update : a tribute to Professor Max Harry Weil. Crit Care 16 : 239, 2012

4）Weil MH, Shubin H : Proposed reclassification of shock states with special reference to distributive defects. Adv Exp Med Biol 23 : 13-23, 1971

5）De Backer D, Biston P, Devriendt J, et al : Comparison of dopamine and norepinephrine in the treatment of shock. N Engl J Med 362 : 779-789, 2010

6）Labovitz AJ, Noble VE, Bierig M, et al : Focused cardiac ultrasound in the emergent setting : a consensus statement of the American Society of Echocardiography and American College of Emergency Physicians. J Am Soc Echocardiogr 23 : 1225-1230, 2010

7）Vincent JL, Rhodes A, Perel A, et al : Clinical review : update on hemodynamic monitoring--a consensus of 16. Crit Care 15 : 229, 2011

8）Weil MH, Shubin H : The “VIP” approach to the bedside management of shock. JAMA 207 : 337-340, 1969

9）Marik PE, Cavallazzi R, Vasu T, et al : Dynamic changes in arterial waveform derived variables and fluid responsiveness in mechanically ventilated patients : a systematic review of the literature. Crit Care Med 37 : 2642-2647, 2009

10）Vincent JL, Weil MH : Fluid challenge revisited. Crit Care Med 34 : 1333-1337, 2006

11）Delaney AP, Dan A, McCaffrey J, et al : The role of albumin as a resuscitation fluid for patients with sepsis : a systematic review and meta-analysis. Crit Care Med 39 : 386-391, 2011

12）Dellinger RP, Levy MM, Rhodes A, et al : Surviving Sepsis Campaign : international guidelines for management of severe sepsis and septic shock : 2012. Crit Care Med 41 : 580-637, 2013

13）Russell JA, Walley KR, Singer J, et al : Vasopressin versus norepinephrine infusion in patients with septic shock. N Engl J Med 358 : 877-887, 2008

14）De Backer D, Creteur J, Dubois MJ, et al : The effects of dobutamine on microcirculatory alterations in patients with septic shock are independent of its systemic effects. Crit Care Med 34 : 403-408, 2006

15）Jansen TC, van Bommel J, Schoonderbeek FJ, et al : Early lactate-guided therapy in intensive care unit patients : a multicenter, open-label, randomized controlled trial. Am J Respir Crit Care Med 182 : 752-761, 2010

16）Vincent JL : Understanding cardiac output. Crit Care 12 : 174, 2008

17）Rivers E, Nguyen B, Havstad S, et al : Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 345 : 1368-1377, 2001

18）Vincent JL, Dufaye P, Berre J, et al : Serial lactate determinations during circulatory shock. Crit Care Med 11 : 449-451, 1983