Hypovolemic shock in adults. Guidelines of the All-Russian Public Organization “Federation of Anesthesiologists and Reanimatologists”
The article presents the main provisions of clinical guidelines for the diagnosis and treatment of hypovolemic shock in adults, approved by the All-Russian public organization "Federation of Anesthesiologists and Resuscitators" in 2024. The relevance of the problem is associated with a significant prevalence and high mortality rates in hypovolemic shock. The recommendations include issues of etiology, pathogenesis, clinical picture, methods of laboratory and instrumental diagnostics of hypovolemic shock. The features of intensive care for hypovolemic shock are presented, including approaches to the administration of vasopressor and inotropic drugs, recommendations for the choice of infusion and adjuvant therapy, including the correction of coagulopathy in hemorrhagic shock. The issues of resuscitation damage control strategy are discussed. The criteria for the quality of medical care for adult patients with hypovolemic shock and algorithms for the doctor's actions in the diagnosis and intensive care of patients with hypovolemic shock are presented.
Authors
- Р. Е. Лахин (ORCID: https://orcid.org/0000-0001-6819-9691)
- А. В. Щеголев (ORCID: https://orcid.org/0000-0001-6431-439X)
- N. P. Shen (ORCID: https://orcid.org/0000-0002-3256-0374)
- Е. В. Ройтман (ORCID: https://orcid.org/0000-0002-3015-9317)
- А. Yu. Bulanov (ORCID: https://orcid.org/0000-0001-6999-8145)
- К. М. Лебединский (ORCID: https://orcid.org/0000-0002-5752-4812)
- Evgeny V. Grigoryev (ORCID: https://orcid.org/0000-0001-8370-3083)
- S. V. Grigoryev (ORCID: https://orcid.org/0000-0002-9753-7351)
- В. С. Афончиков
- Artem N. Kuzovlev (ORCID: https://orcid.org/0000-0002-5930-0118)
- S. V. Sinkov (ORCID: https://orcid.org/0000-0003-4483-4077)
- И. Б. Заболотских
- V. V. Kuzkov (ORCID: https://orcid.org/0000-0002-8191-1185)
- О. В. Орлова (ORCID: https://orcid.org/0000-0002-7682-9427)
Institutions
- Moscow State University of Medicine and Dentistry (RU)
- Kuban State Medical University (RU)
- S. M. Kirov Military Medical Academy (RU)
- Pirogov Russian National Research Medical University (RU)
- Research Institute of Emergency Care (RU)
- Saratov State Medical University (RU)
- V.A. Negovsky Scientific Research Institute of General Reanimatology (RU)
- Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine (RU)
- North-Western State Medical University named after I.I. Mechnikov (RU)
- Tyumen State Medical University (RU)
- Northern State Medical University (RU)
Publication Details
- Journal
- Annals of critical care
- Published
- 2024-10-31
- DOI
- https://doi.org/10.21320/1818-474x-2024-4-7-39
- Citations
- 3
- Primary Topic
- Hemodynamic Monitoring and Therapy
- Type
- article
- Field-Weighted Citation Impact
- 1.72