RESEARCH ARTICLE


Obstructive Shock



Carrie Morgan1, Derek S. Wheeler2, 3, *
1 Division of Critical Care Medicine, Blair E. Batson Children’s Hospital, Jackson, MS, USA
2 Division of Critical Care Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA
3 Department of Pediatrics, University of Cincinnati, College of Medicine, USA


© 2013 Morgan and Wheeler

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Division of Critical Care Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229-3039, USA; Tel: (513) 636-4259; Fax: (513) 636-4267; E-mail: Derek.wheeler@cchmc.org


Abstract

Obstructive shock is a less common, but important cause of shock in critically ill infants and children. It is caused by mechanical obstruction of blood flow to and/or from the heart and causes can include a tension pneumothorax, cardiac tamponade, pulmonary embolus, or cardiac defects resulting in left-sided outflow tract obstruction. Each of these can result in similar physiology with poor perfusion and oxygen delivery to the body, though the diagnosis and treatment are unique to each process and thus described individually.

Keywords: Obstructive shock, pneumothorax, cardiac tamponade, pulmonary embolus, left-sided obstructive heart lesion.