Shock is a failure of the circulation to deliver oxygen and nutrients to the tissues. It is common in children, but understanding its causes and pathophysiology can lead to rational decisions about therapy which may lead to improvement in outcome. This review aims to give the reader a comprehensive understanding of the main classification, causes and pathophysiology of shock in children, with a guide to recognition and monitoring, leading to an understanding of a rational approach to therapy.
Anna Dehò MD is Clinical Fellow at the Paediatric Intensive Care Unit, Department of Paediatrics, St Mary’s Hospital, London W2 1NY, UK
Simon Nadel FRCP is Consultant and Honorary Reader at the Paediatric Intensive Care Unit, Department of Paediatrics, St Mary’s Hospital, London W2 1NY, UK
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