Masud Faisal, Gheewala Gaurav, Giesecke Martin, Suarez E E, Ratnani Iqbal
HOUSTON METHODIST DEBAKEY HEART & VASCULAR CENTER, HOUSTON METHODIST HOSPITAL, HOUSTON, TEXAS.
Methodist Debakey Cardiovasc J. 2020 Jan-Mar;16(1):e1-e7. doi: 10.14797/mdcj-16-1-e1.
Cardiogenic shock (CS) is a multifactorial disease process with high morbidity and mortality. When it occurs in a peri- or intraoperative setting, factors such as surgery, anesthesia, and post-surgical physiology can negatively affect patient outcomes. Since patient needs often escalate during CS-from medications to mechanical support to palliative care-this disease demands a multidisciplinary approach that encompasses all aspects of medical delivery. Preliminary studies have indicated that a multidisciplinary team approach to CS results in earlier diagnosis and treatment and improves patient outcomes. Here we discuss various management strategies for CS from an anesthesiology, surgery, and critical care perspective.
心源性休克（CS）是一种具有高发病率和死亡率的多因素疾病过程。当它发生在围手术期或手术过程中时，手术、麻醉和术后生理等因素会对患者的预后产生负面影响。由于在心源性休克期间患者的需求通常会不断升级——从药物治疗到机械支持再到姑息治疗——这种疾病需要一种涵盖医疗服务各个方面的多学科方法。初步研究表明，采用多学科团队方法治疗心源性休克可实现更早的诊断和治疗，并改善患者的预后。在此，我们从麻醉学、外科学和重症监护的角度讨论心源性休克的各种管理策略。
