![]() ![]() She also had undergone several procedures such as thoracotomy and decortication since then, but she still suffered some episodes of pulmonary infection. She had been diagnosed with CCAM since she was three months old. CCAM might present in the early neonatal period with symptoms of respiratory distress.Ī 2-year-old girl was admitted to our Pediatric Intensive Care Unit with signs of severe respiratory distress. Adherence to evidence-based care of the specific causes of shock can optimize a patient's chances of surviving this life-threatening condition.Īnd importance: Congenital cystic adenomatoid malformation (CCAM) is a rare cystic lesion in the lungs. This issue reviews the 4 primary categories of shock as well as special categories, including shock in pregnancy, traumatic shock, septic shock, and cardiogenic shock in myocardial infarction. Determining the intravascular volume status of patients in shock is critical and aids in categorizing and informing treatment decisions. Prompt workup should be initiated with laboratory testing (especially of serum lactate levels) and imaging, as indicated. Assessment begins with identifying the need for critical interventions such as intubation, mechanical ventilation, or obtaining vascular access. While much is known regarding treatment of patients in shock, several controversies continue in the literature. The mechanisms that can result in shock are divided into 4 categories: (1) hypovolemic, (2) distributive, (3) cardiogenic, and (4) obstructive. Shock is a state of acute circulatory failure leading to decreased organ perfusion, with inadequate delivery of oxygenated blood to tissues and resultant end-organ dysfunction. ![]()
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March 2023
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