Protocolised Management of Cardiogenic Shock and Shock Teams: A Narrative Review.

Abstract

Despite advances in therapy, the incidence of cardiogenic shock continues to increase, with significant mortality that has improved minimally over time. Treatment options for cardiogenic shock are complex and time-, resource-, and case volume-dependent, and involve multiple medical specialties. To provide early, more equitable, and standardised access to cardiogenic shock expertise with advanced therapies, cardiogenic shock teams with a protocolised treatment approach have been proposed. These processes have been applied across hospitals into integrated cardiogenic shock networks. This narrative review evaluates the role of cardiogenic shock teams, protocolised and regionalised shock networks, and the main individual components of protocolised shock management approaches.

• Authors: Natalie Kruit, James Hambly, Andrew Ong, John French, Emma Bowcock, Virag Kushwaha, Pankaj Jain, Mark Dennis
• Journal: Heart, lung & circulation (Heart Lung Circ) Vol. 32 Issue 10 Pg. 1148-1157 (Oct 2023) ISSN: 1444-2892 [Electronic] Australia
• PMID: 37813747 (Publication Type: Journal Article, Review)
• Copyright: Copyright © 2023 The Author(s). Published by Elsevier B.V. All rights reserved.

Topics

• Humans
• Shock, Cardiogenic (therapy)
• Heart-Assist Devices
• Intra-Aortic Balloon Pumping
• Hospitals
• Extracorporeal Membrane Oxygenation