Protocolised Management of Cardiogenic Shock and Shock Teams: A Narrative Review

Natalie Kruit; James Hambly; Andrew Ong; John French; Emma Bowcock; Virag Kushwaha; Pankaj Jain; Mark Dennis

doi:10.1016/j.hlc.2023.08.014

Protocolised Management of Cardiogenic Shock and Shock Teams: A Narrative Review

Heart Lung Circ. 2023 Oct;32(10):1148-1157. doi: 10.1016/j.hlc.2023.08.014. Epub 2023 Oct 8.

Authors

Natalie Kruit¹, James Hambly¹, Andrew Ong², John French³, Emma Bowcock⁴, Virag Kushwaha⁵, Pankaj Jain⁶, Mark Dennis⁷

Affiliations

¹ Westmead Hospital, Sydney, NSW, Australia; Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
² Westmead Hospital, Sydney, NSW, Australia.
³ Liverpool Hospital, Sydney, NSW, Australia; University of New South Wales, Sydney, NSW, Australia.
⁴ Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia; Nepean Hospital, Sydney, NSW, Australia.
⁵ Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia; Prince of Wales Hospital, Sydney, NSW, Australia.
⁶ Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia; Royal Prince Alfred Hospital, Sydney, NSW, Australia.
⁷ Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia; Royal Prince Alfred Hospital, Sydney, NSW, Australia. Electronic address: [email protected].

PMID: 37813747
DOI: 10.1016/j.hlc.2023.08.014

Abstract

Despite advances in therapy, the incidence of cardiogenic shock continues to increase, with significant mortality that has improved minimally over time. Treatment options for cardiogenic shock are complex and time-, resource-, and case volume-dependent, and involve multiple medical specialties. To provide early, more equitable, and standardised access to cardiogenic shock expertise with advanced therapies, cardiogenic shock teams with a protocolised treatment approach have been proposed. These processes have been applied across hospitals into integrated cardiogenic shock networks. This narrative review evaluates the role of cardiogenic shock teams, protocolised and regionalised shock networks, and the main individual components of protocolised shock management approaches.

Keywords: Cardiogenic shock; Heart team; Mechanical circulatory support; Protocolised management; Shock; Shock teams.

Publication types

Review

MeSH terms

Extracorporeal Membrane Oxygenation*
Heart-Assist Devices*
Hospitals
Humans
Intra-Aortic Balloon Pumping
Shock, Cardiogenic / therapy