title: Experts' recommendations for the management of adult patients with cardiogenic shock.
abstract: Unlike for septic shock, there are no specific international recommendations regarding the management of cardiogenic shock (CS) in critically ill patients. We present herein recommendations for the management of cardiogenic shock in adults, developed with the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system by an expert group of the French-Language Society of Intensive Care (Société de Réanimation de Langue Française (SRLF)), with the participation the French Society of Anesthesia and Intensive Care (SFAR), the French Cardiology Society (SFC), the French Emergency Medicine Society (SFMU), and the French Society of Thoracic and Cardiovascular Surgery (SFCTCV). The recommendations cover 15 fields of application such as: epidemiology, myocardial infarction, monitoring, vasoactive drugs, prehospital care, cardiac arrest, mechanical assistance, general treatments, cardiac surgery, poisoning, cardiogenic shock complicating end-stage cardiac failure, post-shock treatment, various etiologies, and medical care pathway. The experts highlight the fact that CS is a rare disease, the management of which requires a multidisciplinary technical platform as well as specialized and experienced medical teams. In particular, each expert center must be able to provide, at the same site, skills in a variety of disciplines, including medical and interventional cardiology, anesthesia, thoracic and vascular surgery, intensive care, cardiac assistance, radiology including for interventional vascular procedures, and a circulatory support mobile unit.
authors.affiliation: CHU Nancy, Service de Réanimation Médicale Brabois; Pôle Cardiovasculaire et Réanimation Médicale, Hopital Brabois, 54511, Vandoeuvre-les-Nancy, France, blevy5463@gmail.com.
authors.forename: Bruno
authors.initials: B
authors.lastname: Levy
authors.forename: Olivier
authors.initials: O
authors.lastname: Bastien
authors.forename: Bendjelid
authors.initials: B
authors.lastname: Karim
authors.forename: Karim
authors.initials: K
authors.lastname: Benjelid
authors.forename: Alain
authors.initials: A
authors.lastname: Cariou
authors.forename: Tahar
authors.initials: T
authors.lastname: Chouihed
authors.forename: Alain
authors.initials: A
authors.lastname: Combes
authors.forename: Alexandre
authors.initials: A
authors.lastname: Mebazaa
authors.forename: Bruno
authors.initials: B
authors.lastname: Megarbane
authors.forename: Patrick
authors.initials: P
authors.lastname: Plaisance
authors.forename: Alexandre
authors.initials: A
authors.lastname: Ouattara
authors.forename: Christian
authors.initials: C
authors.lastname: Spaulding
authors.forename: Christian
authors.initials: C
authors.lastname: Splaulding
authors.forename: Jean-Louis
authors.initials: JL
authors.lastname: Teboul
authors.forename: Fabrice
authors.initials: F
authors.lastname: Vanhuyse
authors.forename: Thierry
authors.initials: T
authors.lastname: Boulain
authors.forename: Kaldoun
authors.initials: K
authors.lastname: Kuteifan