Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine
Identifieur interne : 000478 ( Pmc/Curation ); précédent : 000477; suivant : 000479Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine
Auteurs : Maurizio Cecconi [Royaume-Uni] ; Daniel De Backer [Belgique] ; Massimo Antonelli [Italie] ; Richard Beale ; Jan Bakker [Pays-Bas] ; Christoph Hofer [Suisse] ; Roman Jaeschke [Canada] ; Alexandre Mebazaa [France] ; Michael R. Pinsky [États-Unis] ; Jean Louis Teboul [France] ; Jean Louis Vincent [Belgique] ; Andrew Rhodes [Royaume-Uni]Source :
- Intensive Care Medicine [ 0342-4642 ] ; 2014.
Abstract
Circulatory shock is a life-threatening syndrome resulting in multiorgan failure and a high mortality rate. The aim of this consensus is to provide support to the bedside clinician regarding the diagnosis, management and monitoring of shock.
The European Society of Intensive Care Medicine invited 12 experts to form a Task Force to update a previous consensus (Antonelli et al.: Intensive Care Med 33:575–590, 2007). The same five questions addressed in the earlier consensus were used as the outline for the literature search and review, with the aim of the Task Force to produce statements based on the available literature and evidence. These questions were: (1) What are the epidemiologic and pathophysiologic features of shock in the intensive care unit? (2) Should we monitor preload and fluid responsiveness in shock? (3) How and when should we monitor stroke volume or cardiac output in shock? (4) What markers of the regional and microcirculation can be monitored, and how can cellular function be assessed in shock? (5) What is the evidence for using hemodynamic monitoring to direct therapy in shock? Four types of statements were used: definition, recommendation, best practice and statement of fact.
Forty-four statements were made. The main new statements include: (1) statements on individualizing blood pressure targets; (2) statements on the assessment and prediction of fluid responsiveness; (3) statements on the use of echocardiography and hemodynamic monitoring.
This consensus provides 44 statements that can be used at the bedside to diagnose, treat and monitor patients with shock.
Url:
DOI: 10.1007/s00134-014-3525-z
PubMed: 25392034
PubMed Central: 4239778
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Richard Beale<affiliation><nlm:aff id="Aff4">Department of Critical Care, King’s College London, Guy’s and St Thomas’ Foundation Trust, Westminster Bridge Road, London, SE1 7EH UK</nlm:aff>
<wicri:noCountry code="subfield">SE1 7EH UK</wicri:noCountry>
</affiliation>
Le document en format XML
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<author><name sortKey="Jaeschke, Roman" sort="Jaeschke, Roman" uniqKey="Jaeschke R" first="Roman" last="Jaeschke">Roman Jaeschke</name>
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<author><name sortKey="Pinsky, Michael R" sort="Pinsky, Michael R" uniqKey="Pinsky M" first="Michael R." last="Pinsky">Michael R. Pinsky</name>
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<author><name sortKey="Teboul, Jean Louis" sort="Teboul, Jean Louis" uniqKey="Teboul J" first="Jean Louis" last="Teboul">Jean Louis Teboul</name>
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<author><name sortKey="Vincent, Jean Louis" sort="Vincent, Jean Louis" uniqKey="Vincent J" first="Jean Louis" last="Vincent">Jean Louis Vincent</name>
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<author><name sortKey="Rhodes, Andrew" sort="Rhodes, Andrew" uniqKey="Rhodes A" first="Andrew" last="Rhodes">Andrew Rhodes</name>
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<series><title level="j">Intensive Care Medicine</title>
<idno type="ISSN">0342-4642</idno>
<idno type="eISSN">1432-1238</idno>
<imprint><date when="2014">2014</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Objective</title>
<p>Circulatory shock is a life-threatening syndrome resulting in multiorgan failure and a high mortality rate. The aim of this consensus is to provide support to the bedside clinician regarding the diagnosis, management and monitoring of shock.</p>
</sec>
<sec><title>Methods</title>
<p>The European Society of Intensive Care Medicine invited 12 experts to form a Task Force to update a previous consensus (Antonelli et al.: Intensive Care Med 33:575–590, 2007). The same five questions addressed in the earlier consensus were used as the outline for the literature search and review, with the aim of the Task Force to produce statements based on the available literature and evidence. These questions were: (1) What are the epidemiologic and pathophysiologic features of shock in the intensive care unit? (2) Should we monitor preload and fluid responsiveness in shock? (3) How and when should we monitor stroke volume or cardiac output in shock? (4) What markers of the regional and microcirculation can be monitored, and how can cellular function be assessed in shock? (5) What is the evidence for using hemodynamic monitoring to direct therapy in shock? Four types of statements were used: definition, recommendation, best practice and statement of fact.</p>
</sec>
<sec><title>Results</title>
<p>Forty-four statements were made. The main new statements include: (1) statements on individualizing blood pressure targets; (2) statements on the assessment and prediction of fluid responsiveness; (3) statements on the use of echocardiography and hemodynamic monitoring.</p>
</sec>
<sec><title>Conclusions</title>
<p>This consensus provides 44 statements that can be used at the bedside to diagnose, treat and monitor patients with shock.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Intensive Care Med</journal-id>
<journal-id journal-id-type="iso-abbrev">Intensive Care Med</journal-id>
<journal-title-group><journal-title>Intensive Care Medicine</journal-title>
</journal-title-group>
<issn pub-type="ppub">0342-4642</issn>
<issn pub-type="epub">1432-1238</issn>
<publisher><publisher-name>Springer Berlin Heidelberg</publisher-name>
<publisher-loc>Berlin/Heidelberg</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">25392034</article-id>
<article-id pub-id-type="pmc">4239778</article-id>
<article-id pub-id-type="publisher-id">3525</article-id>
<article-id pub-id-type="doi">10.1007/s00134-014-3525-z</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Conference Reports and Expert Panel</subject>
</subj-group>
</article-categories>
<title-group><article-title>Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Cecconi</surname>
<given-names>Maurizio</given-names>
</name>
<address><phone>+44-208-7250879</phone>
<email>mcecconi@sgul.ac.uk</email>
<email>m.cecconi@nhs.net</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>De Backer</surname>
<given-names>Daniel</given-names>
</name>
<xref ref-type="aff" rid="Aff2"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Antonelli</surname>
<given-names>Massimo</given-names>
</name>
<xref ref-type="aff" rid="Aff3"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Beale</surname>
<given-names>Richard</given-names>
</name>
<xref ref-type="aff" rid="Aff4"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bakker</surname>
<given-names>Jan</given-names>
</name>
<xref ref-type="aff" rid="Aff5"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hofer</surname>
<given-names>Christoph</given-names>
</name>
<xref ref-type="aff" rid="Aff6"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jaeschke</surname>
<given-names>Roman</given-names>
</name>
<xref ref-type="aff" rid="Aff7"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mebazaa</surname>
<given-names>Alexandre</given-names>
</name>
<xref ref-type="aff" rid="Aff8"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pinsky</surname>
<given-names>Michael R.</given-names>
</name>
<xref ref-type="aff" rid="Aff9"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Teboul</surname>
<given-names>Jean Louis</given-names>
</name>
<xref ref-type="aff" rid="Aff10"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vincent</surname>
<given-names>Jean Louis</given-names>
</name>
<xref ref-type="aff" rid="Aff2"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rhodes</surname>
<given-names>Andrew</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<aff id="Aff1"><label></label>
Anaesthesia and Intensive Care, St George’s Hospital and Medical School, SW17 0QT London, UK</aff>
<aff id="Aff2"><label></label>
Department of Intensive Care, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium</aff>
<aff id="Aff3"><label></label>
Department of Intensive Care Medicine and Anesthesiology, Catholic University–A. Gemelli University Hospital, Rome, Italy</aff>
<aff id="Aff4"><label></label>
Department of Critical Care, King’s College London, Guy’s and St Thomas’ Foundation Trust, Westminster Bridge Road, London, SE1 7EH UK</aff>
<aff id="Aff5"><label></label>
Department of Intensive Care Adults, Erasmus University Medical Center, Rotterdam, The Netherlands</aff>
<aff id="Aff6"><label></label>
Department of Transversal Medicine, Institute of Anesthesiology and Intensive Care Medicine, Triemli City Hospital, Zurich, Switzerland</aff>
<aff id="Aff7"><label></label>
McMaster University, Hamilton, ON Canada</aff>
<aff id="Aff8"><label></label>
Department of Anesthesiology and Critical Care Medicine, U942 INSERM, Université Paris Diderot, PRES Sorbonne Paris Cité and APHP, Saint Louis Lariboisière University Hospitals, Paris, France</aff>
<aff id="Aff9"><label></label>
Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA 15261 USA</aff>
<aff id="Aff10"><label></label>
Hôpital de Bicêtre, Service de Réanimation Médicale, AP-HP, Hôpitaux Universitaires Paris-Sud, Le Kremlin-Bicêtre, France</aff>
</contrib-group>
<pub-date pub-type="epub"><day>13</day>
<month>11</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>13</day>
<month>11</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub"><year>2014</year>
</pub-date>
<volume>40</volume>
<issue>12</issue>
<fpage>1795</fpage>
<lpage>1815</lpage>
<history><date date-type="received"><day>17</day>
<month>10</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>18</day>
<month>10</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>© The Author(s) 2014</copyright-statement>
<license license-type="OpenAccess"><license-p><bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.</license-p>
</license>
</permissions>
<abstract id="Abs1"><sec><title>Objective</title>
<p>Circulatory shock is a life-threatening syndrome resulting in multiorgan failure and a high mortality rate. The aim of this consensus is to provide support to the bedside clinician regarding the diagnosis, management and monitoring of shock.</p>
</sec>
<sec><title>Methods</title>
<p>The European Society of Intensive Care Medicine invited 12 experts to form a Task Force to update a previous consensus (Antonelli et al.: Intensive Care Med 33:575–590, 2007). The same five questions addressed in the earlier consensus were used as the outline for the literature search and review, with the aim of the Task Force to produce statements based on the available literature and evidence. These questions were: (1) What are the epidemiologic and pathophysiologic features of shock in the intensive care unit? (2) Should we monitor preload and fluid responsiveness in shock? (3) How and when should we monitor stroke volume or cardiac output in shock? (4) What markers of the regional and microcirculation can be monitored, and how can cellular function be assessed in shock? (5) What is the evidence for using hemodynamic monitoring to direct therapy in shock? Four types of statements were used: definition, recommendation, best practice and statement of fact.</p>
</sec>
<sec><title>Results</title>
<p>Forty-four statements were made. The main new statements include: (1) statements on individualizing blood pressure targets; (2) statements on the assessment and prediction of fluid responsiveness; (3) statements on the use of echocardiography and hemodynamic monitoring.</p>
</sec>
<sec><title>Conclusions</title>
<p>This consensus provides 44 statements that can be used at the bedside to diagnose, treat and monitor patients with shock.</p>
</sec>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Circulatory shock</kwd>
<kwd>Intensive care unit</kwd>
<kwd>Hemodynamic monitoring</kwd>
<kwd>Echocardiography</kwd>
<kwd>Consensus statement/guidelines</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© Springer-Verlag Berlin Heidelberg and ESICM 2014</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>
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