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Obstructive shock

MedGen UID:
1621062
•Concept ID:
C3665783
•
Disease or Syndrome
SNOMED CT: Obstructive shock (16472761000119108)
 
HPO: HP:0031276

Definition

A type of shock characterized by inadequate cardiac preload due to obstructed venous return (e.g. pericardial tamponade, tension pneumothorax, abdominal compartment) or obstruction of arterial blood flow (e.g. pulmonary embolism). [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVObstructive shock

Professional guidelines

PubMed

Endovascular Treatment of Acute Obstructive Shock Associated with Inferior Vena Cava Filter Thrombosis.
Lane OF, Jahangiri Y, Slater WA
J Vasc Interv Radiol 2023 Jul;34(7):1272-1275. Epub 2023 Feb 28 doi: 10.1016/j.jvir.2023.02.026. PMID: 36863610
Prevalence, Outcome, and Optimal Management of Free-Floating Right Heart Thrombi in the Context of Pulmonary Embolism, a Systematic Review and Meta-Analysis.
Ibrahim WH, Ata F, Choudry H, Javed H, Shunnar KM, Shams A, Arshad A, Bosom A, Elkahlout MHA, Sawaf B, Ahmed SMA, Olajide T
Clin Appl Thromb Hemost 2022 Jan-Dec;28:10760296221140114. doi: 10.1177/10760296221140114. PMID: 36384306Free PMC Article
Shock: new developments in the management of shock.
Weil MH, Gazmuri RJ
Appl Cardiopulm Pathophysiol 1991;4(2):103-7. PMID: 10147544

Recent clinical studies

Etiology

Ultrasound in postresuscitation care: a narrative review.
Hsu CY, Chen JY, Lee AF, Huang SS, Lien WC, Chang WT, Huang CH
Eur J Emerg Med 2022 Aug 1;29(4):246-252. Epub 2022 Apr 20 doi: 10.1097/MEJ.0000000000000929. PMID: 35471202
Predictors of Mortality in Neonatal Shock: A Retrospective Cohort Study.
Saini SS, Shrivastav AK, Kumar J, Sundaram V, Mukhopadhyay K, Dutta S, Ray P, Kumar P
Shock 2022 Feb 1;57(2):199-204. doi: 10.1097/SHK.0000000000001887. PMID: 34798634
Outcome of patients with different clinical presentations of high-risk pulmonary embolism.
Ebner M, Sentler C, Harjola VP, Bueno H, Lerchbaumer MH, Hasenfuß G, Eckardt KU, Konstantinides SV, Lankeit M
Eur Heart J Acute Cardiovasc Care 2021 Oct 1;10(7):787-796. doi: 10.1093/ehjacc/zuab038. PMID: 34125186Free PMC Article
The diagnostic accuracy of a point-of-care ultrasound protocol for shock etiology: A systematic review and meta-analysis.
Stickles SP, Carpenter CR, Gekle R, Kraus CK, Scoville C, Theodoro D, Tran VH, Ubiñas G, Raio C
CJEM 2019 May;21(3):406-417. Epub 2019 Jan 30 doi: 10.1017/cem.2018.498. PMID: 30696496
Accuracy and outcome of rapid ultrasound in shock and hypotension (RUSH) in Egyptian polytrauma patients.
Elbaih AH, Housseini AM, Khalifa MEM
Chin J Traumatol 2018 Jun;21(3):156-162. Epub 2018 Mar 26 doi: 10.1016/j.cjtee.2017.06.009. PMID: 29784591Free PMC Article

Diagnosis

Ultrasound in postresuscitation care: a narrative review.
Hsu CY, Chen JY, Lee AF, Huang SS, Lien WC, Chang WT, Huang CH
Eur J Emerg Med 2022 Aug 1;29(4):246-252. Epub 2022 Apr 20 doi: 10.1097/MEJ.0000000000000929. PMID: 35471202
Echocardiography in a critical care unit: a contemporary review.
Mohsin M, Farooq MU, Akhtar W, Mustafa W, Rehman TU, Malik J, Zahid T
Expert Rev Cardiovasc Ther 2022 Jan;20(1):55-63. Epub 2022 Feb 2 doi: 10.1080/14779072.2022.2036124. PMID: 35098852
The Nomenclature, Definition and Distinction of Types of Shock.
Standl T, Annecke T, Cascorbi I, Heller AR, Sabashnikov A, Teske W
Dtsch Arztebl Int 2018 Nov 9;115(45):757-768. doi: 10.3238/arztebl.2018.0757. PMID: 30573009Free PMC Article
Cardiac tamponade.
Bodson L, Bouferrache K, Vieillard-Baron A
Curr Opin Crit Care 2011 Oct;17(5):416-24. doi: 10.1097/MCC.0b013e3283491f27. PMID: 21716107
Pharmacotherapy of circulatory shock.
Higgins TL, Chernow B
Dis Mon 1987 Jun;33(6):309-61. doi: 10.1016/0011-5029(87)90017-4. PMID: 3304905

Therapy

Air embolism case report.
Basta M, Schwartz S
CJEM 2023 May;25(5):445-447. Epub 2023 May 4 doi: 10.1007/s43678-023-00506-1. PMID: 37142857
Prevalence, Outcome, and Optimal Management of Free-Floating Right Heart Thrombi in the Context of Pulmonary Embolism, a Systematic Review and Meta-Analysis.
Ibrahim WH, Ata F, Choudry H, Javed H, Shunnar KM, Shams A, Arshad A, Bosom A, Elkahlout MHA, Sawaf B, Ahmed SMA, Olajide T
Clin Appl Thromb Hemost 2022 Jan-Dec;28:10760296221140114. doi: 10.1177/10760296221140114. PMID: 36384306Free PMC Article
Echocardiography in a critical care unit: a contemporary review.
Mohsin M, Farooq MU, Akhtar W, Mustafa W, Rehman TU, Malik J, Zahid T
Expert Rev Cardiovasc Ther 2022 Jan;20(1):55-63. Epub 2022 Feb 2 doi: 10.1080/14779072.2022.2036124. PMID: 35098852
The Nomenclature, Definition and Distinction of Types of Shock.
Standl T, Annecke T, Cascorbi I, Heller AR, Sabashnikov A, Teske W
Dtsch Arztebl Int 2018 Nov 9;115(45):757-768. doi: 10.3238/arztebl.2018.0757. PMID: 30573009Free PMC Article
Pharmacotherapy of circulatory shock.
Higgins TL, Chernow B
Dis Mon 1987 Jun;33(6):309-61. doi: 10.1016/0011-5029(87)90017-4. PMID: 3304905

Prognosis

Prevalence, Outcome, and Optimal Management of Free-Floating Right Heart Thrombi in the Context of Pulmonary Embolism, a Systematic Review and Meta-Analysis.
Ibrahim WH, Ata F, Choudry H, Javed H, Shunnar KM, Shams A, Arshad A, Bosom A, Elkahlout MHA, Sawaf B, Ahmed SMA, Olajide T
Clin Appl Thromb Hemost 2022 Jan-Dec;28:10760296221140114. doi: 10.1177/10760296221140114. PMID: 36384306Free PMC Article
Ultrasound in postresuscitation care: a narrative review.
Hsu CY, Chen JY, Lee AF, Huang SS, Lien WC, Chang WT, Huang CH
Eur J Emerg Med 2022 Aug 1;29(4):246-252. Epub 2022 Apr 20 doi: 10.1097/MEJ.0000000000000929. PMID: 35471202
Predictors of Mortality in Neonatal Shock: A Retrospective Cohort Study.
Saini SS, Shrivastav AK, Kumar J, Sundaram V, Mukhopadhyay K, Dutta S, Ray P, Kumar P
Shock 2022 Feb 1;57(2):199-204. doi: 10.1097/SHK.0000000000001887. PMID: 34798634
Outcome of patients with different clinical presentations of high-risk pulmonary embolism.
Ebner M, Sentler C, Harjola VP, Bueno H, Lerchbaumer MH, Hasenfuß G, Eckardt KU, Konstantinides SV, Lankeit M
Eur Heart J Acute Cardiovasc Care 2021 Oct 1;10(7):787-796. doi: 10.1093/ehjacc/zuab038. PMID: 34125186Free PMC Article
Massive splenomegaly and lymphopenia: a unique case of obstructive shock.
Huprikar NA, Kurtz MT, Mount CA
BMJ Case Rep 2013 Oct 30;2013 doi: 10.1136/bcr-2013-201643. PMID: 24172780Free PMC Article

Clinical prediction guides

Prevalence, Outcome, and Optimal Management of Free-Floating Right Heart Thrombi in the Context of Pulmonary Embolism, a Systematic Review and Meta-Analysis.
Ibrahim WH, Ata F, Choudry H, Javed H, Shunnar KM, Shams A, Arshad A, Bosom A, Elkahlout MHA, Sawaf B, Ahmed SMA, Olajide T
Clin Appl Thromb Hemost 2022 Jan-Dec;28:10760296221140114. doi: 10.1177/10760296221140114. PMID: 36384306Free PMC Article
Clinical features and management of children with dengue-associated obstructive shock syndrome: A case report.
Nguyen TT, Le NT, Nguyen NM, Do VC, Trinh TH, Vo LT
Medicine (Baltimore) 2022 Oct 28;101(43):e31322. doi: 10.1097/MD.0000000000031322. PMID: 36316901Free PMC Article
Ultrasound in postresuscitation care: a narrative review.
Hsu CY, Chen JY, Lee AF, Huang SS, Lien WC, Chang WT, Huang CH
Eur J Emerg Med 2022 Aug 1;29(4):246-252. Epub 2022 Apr 20 doi: 10.1097/MEJ.0000000000000929. PMID: 35471202
Predictors of Mortality in Neonatal Shock: A Retrospective Cohort Study.
Saini SS, Shrivastav AK, Kumar J, Sundaram V, Mukhopadhyay K, Dutta S, Ray P, Kumar P
Shock 2022 Feb 1;57(2):199-204. doi: 10.1097/SHK.0000000000001887. PMID: 34798634
Pharmacotherapy of circulatory shock.
Higgins TL, Chernow B
Dis Mon 1987 Jun;33(6):309-61. doi: 10.1016/0011-5029(87)90017-4. PMID: 3304905

Recent systematic reviews

Diagnostic accuracy of point-of-care ultrasound for shock: a systematic review and meta-analysis.
Yoshida T, Yoshida T, Noma H, Nomura T, Suzuki A, Mihara T
Crit Care 2023 May 25;27(1):200. doi: 10.1186/s13054-023-04495-6. PMID: 37231510Free PMC Article
Timing of embolic phenomena after hydrogen peroxide exposure - a systematic review.
King A, Fee M, McGlynn E, Marshall B, Akers KG, Hatten B
Clin Toxicol (Phila) 2023 Jan;61(1):12-21. Epub 2022 Nov 28 doi: 10.1080/15563650.2022.2144745. PMID: 36440836
Prevalence, Outcome, and Optimal Management of Free-Floating Right Heart Thrombi in the Context of Pulmonary Embolism, a Systematic Review and Meta-Analysis.
Ibrahim WH, Ata F, Choudry H, Javed H, Shunnar KM, Shams A, Arshad A, Bosom A, Elkahlout MHA, Sawaf B, Ahmed SMA, Olajide T
Clin Appl Thromb Hemost 2022 Jan-Dec;28:10760296221140114. doi: 10.1177/10760296221140114. PMID: 36384306Free PMC Article
The diagnostic accuracy of a point-of-care ultrasound protocol for shock etiology: A systematic review and meta-analysis.
Stickles SP, Carpenter CR, Gekle R, Kraus CK, Scoville C, Theodoro D, Tran VH, Ubiñas G, Raio C
CJEM 2019 May;21(3):406-417. Epub 2019 Jan 30 doi: 10.1017/cem.2018.498. PMID: 30696496

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