Circumcision has been the most frequently applied surgical procedure since ancient times [1,2]. In Turkey, the application of this surgical procedure continues due to traditional and religious reasons. Iron deficiency anemia (IDA) is a common pediatric problem affecting up to 25% of all the children worldwide [3].Even though circumcision is known to be a procedure with minor complications, it c...

Hypovolemic shock is the manifestation of hypoperfusion from inadequate intravascular volume resulting in cellular hypoxia. Early, effective treatment tailored to the individual patient will minimize morbidity and mortality. The causes and end-organ responses can differ with each patient, requiring an understanding of the underlying physiology and pathophysiology. Treatment always consists of o...

Systemic capillary leak syndrome is characterized by recurrent hypovolemic shock attributable to increased systemic capillary leakage. A 26-year-old woman was admitted because of recurrent episodes of hypovolemic shock. Hemoconcentration, hypoalbuminemia, and monoclonal gammopathy were observed. We diagnosed systemic capillary leak syndrome. Three years later, she again had an attack of systemi...

INTRODUCTION — This topic will review the physiologic determinants and classification of shock. The initial evaluation and management of shock in children, in general, and hypovolemic and septic shock, specifically, are discussed separately. (See "Initial evaluation of shock in children" and "Initial management of shock in children" and "Hypovolemic shock in children: Initial evaluation and man...

This prospective study was conducted to determine the frequency, etiology, type and outcome of shock in hospitalized children in the age group of 1 month to 15 years. There were 98 cases of shock, constituting 4.3% out of total admissions. Mean age was 2.8 +/-3.4 years. Maximum number of patients (39) was seen in infancy. Hypovolemic shock due to acute diarrheal disease was the commonest type (...

Background: Different techniques are employed to assess the endpoint of fluid therapy in hypovolemic patients. Lung ultrasound (US) is increasingly becoming a diagnostic tool critical care s...

Hypertonic solutions have been studied extensively in the treatment of hypovolemic shock, both in experimental and clinical models. Safety, efficacy, and long-term effects on animals and patients have been evaluated. The present article reviews indications, safety, mortality rates, and outcome in patients with hemorrhagic hypovolemic shock who were treated after admission with a hypertonic/hype...