Shock Clinical Challenges
Overview
Shock Epidemiology is a life-threatening failure of adequate oxygen delivery to the tissues leading to inadequate blood oxygen saturation. Challenges remain in the current treatment of shock patients [1][2].
Current limitations in treatment of shock patients
Shunt Index
Current non-invasive cardiac output monitors do not measure shunt, so true cardiac output measurements are not yet achieved.
Ventilator Settings
Incorrect ventilator settings may induce lung damage, worsening outcomes.
Invasive
Currently, there is no non-invasive monitoring technique to assess shunt fraction.
Shock remains a problem globally
15M
Shock affects more than 15 million patients globally [2]
40%
Mortality rates for shock are between 40-60% [2]
30%
COVID-19 patients admitted to ICU resulted in Shock [3].
1. Medicine, S.o.C.C. Critical Care Statistics. Available from: https://www.sccm.org/Communications/Critical-Care-Statistics
2. Fleischmann, C., et al., Assessment of Global Incidence and Mortality of Hospital-treated Sepsis. Current Estimates and Limitations. American Journal of Respiratory and Critical Care Medicine, 2016. 193(3): p. 259-272.
3. Phua, J., et al., Asian Critical Care Clinical Trials Group. (2020). Intensive care management of coronavirus disease 2019 (COVID-19): challenges and recommendations. The Lancet Respiratory Medicine, 8(5), 506-517