SHOCK IN NEWBORN

Etiology, clinical manifestations, evaluation, and management of shock in Newborn

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2 comments

Unknown 5/22/12, 11:34 AM

Thanks for such good informative presentation.
Will you please, elaborate the mechanism of distributive and dissociative type of shock?
Ajay Agade 5/22/12, 7:02 PM

Thanks Utkarsh for leaving your comment.Dissociative shock is often not included in traditional classifications.Here the hemoglobin molecule is unable to give up oxygen to tissue despite normal tissue perfusion like that in cyanide poisoning, while on other hand in distributive the tissue perfusion is compromised which reduces the oxygen delivery, it may be cardiogenic (like that due to tamponade), septic, neural although we classify these separately the basic mechanism is decrease of blood supply to tissue or relative hypovolumia that means despite good volume its distribution is improper. But mostly only septic shock is termed as distributive..I think this should satisfy your query.