PT  - JOURNAL ARTICLE
AU  - Steven Fox
AU  - Rishik Vashisht
AU  - Matthew Siuba
AU  - Siddharth Dugar
TI  - Evaluation and management of shock in patients with COVID-19
AID  - 10.3949/ccjm.87a.ccc052
DP  - 2020 Jul 17
TA  - Cleveland Clinic Journal of Medicine
4099  - http://www.ccjm.org/content/early/2020/07/10/ccjm.87a.ccc052.short
4100  - http://www.ccjm.org/content/early/2020/07/10/ccjm.87a.ccc052.full
AB  - Shock is common in critically ill patients with COVID-19, developing in up to 67% of patients in intensive care (5% to 10% overall) and is associated with high mortality. Optimal management requires prompt recognition with precise evaluation and differentiation. Correcting hypoperfusion and treating the underlying process are fundamental aspects of treatment. Undifferentiated shock may be treated initially with norepinephrine to optimize perfusion while additional evaluation is performed to categorize the shock pathophysiology. Physical examination, bedside echocardiography, hemodynamic monitoring, lactate and venous oxygen saturation are important components of the patient evaluation.