Pathophysiology of shock and adult respiratory distress syndrome.

J. W. Holcroft, D. D. Trunkey

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

The respiratory failure that develops in surgical patients is usually caused by a surgical problem--shock, trauma, sepsis, pulmonary contusion, aspiration, pulmonary emboli or pain, with its attendant ventilatory compromise. Although the underlying pathophysiology for the respiratory failure in these conditions is not precisely known, the means for prevention are well known. Patients subjected to trauma should be aggressively resuscitated from shock. They should have the chance of being cared for in a facility where an operation can be performed promptly. The respiratory failure of sepsis is best treated by seeking out foci of pus or devitalized tissue and surgically ablating these foci when found. Adherence to these basic surgical principles--aggressive resuscitation of patients in shock and prompt attention to their surgical problems--will alleviate much of the respiratory distress of surgical patients, no matter what the pathophysiology or etiology may be.

Original languageEnglish (US)
Pages (from-to)1-12
Number of pages12
JournalSurgery annual
Volume15
StatePublished - 1983

Fingerprint

Adult Respiratory Distress Syndrome
Shock
Respiratory Insufficiency
Sepsis
Surgical Shock
Lung
Suppuration
Contusions
Wounds and Injuries
Embolism
Resuscitation
Pain

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Pathophysiology of shock and adult respiratory distress syndrome. / Holcroft, J. W.; Trunkey, D. D.

In: Surgery annual, Vol. 15, 1983, p. 1-12.

Research output: Contribution to journalArticle

@article{6755f20059a14b3c9633ab1b0f052c5a,
title = "Pathophysiology of shock and adult respiratory distress syndrome.",
abstract = "The respiratory failure that develops in surgical patients is usually caused by a surgical problem--shock, trauma, sepsis, pulmonary contusion, aspiration, pulmonary emboli or pain, with its attendant ventilatory compromise. Although the underlying pathophysiology for the respiratory failure in these conditions is not precisely known, the means for prevention are well known. Patients subjected to trauma should be aggressively resuscitated from shock. They should have the chance of being cared for in a facility where an operation can be performed promptly. The respiratory failure of sepsis is best treated by seeking out foci of pus or devitalized tissue and surgically ablating these foci when found. Adherence to these basic surgical principles--aggressive resuscitation of patients in shock and prompt attention to their surgical problems--will alleviate much of the respiratory distress of surgical patients, no matter what the pathophysiology or etiology may be.",
author = "Holcroft, {J. W.} and Trunkey, {D. D.}",
year = "1983",
language = "English (US)",
volume = "15",
pages = "1--12",
journal = "Surgery annual",
issn = "0081-9638",

}

TY - JOUR

T1 - Pathophysiology of shock and adult respiratory distress syndrome.

AU - Holcroft, J. W.

AU - Trunkey, D. D.

PY - 1983

Y1 - 1983

N2 - The respiratory failure that develops in surgical patients is usually caused by a surgical problem--shock, trauma, sepsis, pulmonary contusion, aspiration, pulmonary emboli or pain, with its attendant ventilatory compromise. Although the underlying pathophysiology for the respiratory failure in these conditions is not precisely known, the means for prevention are well known. Patients subjected to trauma should be aggressively resuscitated from shock. They should have the chance of being cared for in a facility where an operation can be performed promptly. The respiratory failure of sepsis is best treated by seeking out foci of pus or devitalized tissue and surgically ablating these foci when found. Adherence to these basic surgical principles--aggressive resuscitation of patients in shock and prompt attention to their surgical problems--will alleviate much of the respiratory distress of surgical patients, no matter what the pathophysiology or etiology may be.

AB - The respiratory failure that develops in surgical patients is usually caused by a surgical problem--shock, trauma, sepsis, pulmonary contusion, aspiration, pulmonary emboli or pain, with its attendant ventilatory compromise. Although the underlying pathophysiology for the respiratory failure in these conditions is not precisely known, the means for prevention are well known. Patients subjected to trauma should be aggressively resuscitated from shock. They should have the chance of being cared for in a facility where an operation can be performed promptly. The respiratory failure of sepsis is best treated by seeking out foci of pus or devitalized tissue and surgically ablating these foci when found. Adherence to these basic surgical principles--aggressive resuscitation of patients in shock and prompt attention to their surgical problems--will alleviate much of the respiratory distress of surgical patients, no matter what the pathophysiology or etiology may be.

UR - http://www.scopus.com/inward/record.url?scp=0020690376&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0020690376&partnerID=8YFLogxK

M3 - Article

C2 - 6353629

AN - SCOPUS:0020690376

VL - 15

SP - 1

EP - 12

JO - Surgery annual

JF - Surgery annual

SN - 0081-9638

ER -