MODERN ASPECTS IN TREATMENT OF SHOCK STAT ES

Therapeutic management of shock requires consideration on current path ophysiological mechanisms. Therefore an extended monitoring of hemodyn amics including application of a Swan-Ganz-Catheter is necessary to me asure SvO2, CO, PCWP and SVR in critically ill patients. Measurements of O(2)DEL, O2CONS and avDO(2), reproducing more exactly tissue perfus ion and oxygenation, allow investigation of therapeutic strategies. Du e to new concepts fluid resuscitation is reduced in favour of early an d more differentiated use of catecholamines. As an extracorporeal supp ort hemofiltration today is established mainly in treatment of septic shock.