Surgery Definition – How to manage shock?
Definition – How to manage shock?
It is important to consider shock initially as hypovolemic shock initially until it can be proven otherwise. The aim of the treatment is to replace the loss of intravascular fluid. It is important to establish intravenous access via two 14G wide bore cannulae in the region of antecubital fossa. If unable to perform this consider alternative site for cannulation which is the forearm veins with widest possible, bore. If still unable to do this, consider surgical cut down or dissection for direct exposure of accessible vein where saphenous vein is the common choice. In children intraosseus access is considered in the tibial tuberosity. This is follow by initial replacement of fluid with 10 – 20 ml/kg bolus of warmed fluid via pressure bag. Hartmann’s solution is considered as the first choice of fluid.
It is important to consider shock initially as hypovolemic shock initially until it can be proven otherwise. The aim of the treatment is to replace the loss of intravascular fluid. It is important to establish intravenous access via two 14G wide bore cannulae in the region of antecubital fossa. If unable to perform this consider alternative site for cannulation which is the forearm veins with widest possible, bore. If still unable to do this, consider surgical cut down or dissection for direct exposure of accessible vein where saphenous vein is the common choice. In children intraosseus access is considered in the tibial tuberosity. This is follow by initial replacement of fluid with 10 – 20 ml/kg bolus of warmed fluid via pressure bag. Hartmann’s solution is considered as the first choice of fluid.
