Experts’ recommendations for the management of adult patients with cardiogenic shock

• DOI: 10.1186/s13613-015-0052-1
• Publication Date: 2015-06-30T17:21:01Z
• Authors: Bruno Levy; Olivier Bastien; Karim Bendjelid; Alain Cariou; Tahar Chouihed; Alain Combes; Alexandre Mebazaa; Bruno Megarbane; Patrick Plaisance; Alexandre Ouattara; Christian Spaulding; Jean-Louis Teboul; Fabrice Vanhuyse; Thierry Boulain; Kaldoun Kuteifan
• Keywords: Vascular surgery

Unlike for septic shock, there are no specific international recommendations regarding the management of cardiogenic shock (CS) in critically ill patients. We present herein adults, developed with Grading Recommendations Assessment, Development, and Evaluation (GRADE) system by an expert group French-Language Society Intensive Care (Société de Réanimation Langue Française (SRLF)), participation French Anesthesia (SFAR), Cardiology (SFC), Emergency Medicine (SFMU), Thoracic Cardiovascular Surgery (SFCTCV). The cover 15 fields application such as: epidemiology, myocardial infarction, monitoring, vasoactive drugs, prehospital care, cardiac arrest, mechanical assistance, general treatments, surgery, poisoning, complicating end-stage failure, post-shock treatment, various etiologies, medical care pathway. experts highlight fact that CS is a rare disease, which requires multidisciplinary technical platform as well specialized experienced teams. In particular, each center must be able to provide, at same site, skills variety disciplines, including interventional cardiology, anesthesia, thoracic vascular intensive radiology procedures, circulatory support mobile unit.