Shock can be caused by lack of oxygen delivery anemia, hypoxia, or ischemia. In trauma,disability is routinely assessed using the glasgow coma scale gcs, but an assessment of neurologic status is necessary in all forms of shock. Cardiogenic shock represents 5 % of diagnosed cases of shock in pediat. A warm dilated shock may be seen with distributive shock due to vasodilation of the peripheral vessels. Keywords pediatric shock, cardiogenic, hypovolemic, hemorrhagic, septic, anaphylactic s hock is a state of acute energy failure in which there is not enough adenosine triphosphate atp production to support systemic cellular function. In children, the clinical signs of cardiac failure are tachycardia, dyspnea, and hepatomegaly, together with global signs related to a decrease of cardiac output. Cardiogenic shock is an acute state of circulatory failure due to impairment of myocardial contractility.
Adequate oxygen delivery at the tissue level is the primary concern and depends on cardiac output. Shock is a state of circulatory dysfunction where the metabolic demands of the tissue cannot be met by the circulation. Despite advances in the management of shock, cardiac failure with cardiogenic shock continues to be challenging clinical problem. Shock caused by maldistribution of the circulating volume. Experts recommendations for the management of cardiogenic. Pediatric cardiogenic shock is a nonspecific and challenging clinical scenario of decompensated heart failure and impending cardiovascular collapse. Even after narrowing the diagnosis to cardiogenic shock, the list of possible etiologies is vast and the cause important to determine because the source of the shock will respond differently to different treatments. Cardiogenic shock can be a major and frequently fatal, complication of both acute and chronic disorders that aaect the function of heart to maintain adequate tissue perfusion. Although less common than other forms of shock, cardiogenic shock does occur in the pediatric population.