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

 

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Shunt Index

Current non-invasive cardiac output monitors do not measure shunt, so true cardiac output measurements are not yet achieved.


 

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Ventilator Settings

Incorrect ventilator settings may induce lung damage, worsening outcomes.


 

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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