Contents


Preface

Shock is a clinico-pathologic state characterized by a mismatch between oxygen demand and oxygen delivery leading to tissue hypoxia and impairment of physiological functions. If the underlying precipitating factors are not identified, then the initial compensatory phase can be followed by a cascade of neuroendocrine compensatory mechanisms leading to decompensation and irreversible damage to organs and increased morbidity and mortality. Comprehensive management of a shock patient requires early diagnosis, identification of the underlying pathology, and a comprehensive goal-oriented management protocol. If left untreated or undetected, shock can result in life-threatening complications and negative outcomes. Hence, early detection should be the goal of physicians involved in the management of cases with potential shock of any etiology. Shock can be categorized as septic shock, anaphylactic shock, cardiogenic shock, hypovolemic shock, and neurogenic shock. The broader objective should focus on early detection of shock to identify the underlying etiology and the type of shock, as well as determine management strategies. This book enhances understanding of shock, including its pathophysiological and clinical characteristics, and can help health practitioners to identify shock and develop

> **Amit Agrawal** Professor,

> > Bhopal, India

Bhopal, India

**Vaishali Waindeskar**

Department of Neurosurgery,

All India Institute of Medical Sciences,

Department of Anesthesia and Critical Care, All India Institute of Medical Sciences,

effective management approaches.
