Thread by @avkwong, Afternoon learning #esicmtv Revisiting some basic physiology on vasoactive drugs...Vasopressor and Inotrope [...]

Adrian Wong

avkwong

Afternoon learning #esicmtv

Revisiting some basic physiology on vasoactive drugs...

Vasopressor and Inotrope Therapy in Cardiac Critical Care
https://journals.sagepub.com/doi/abs/10.1177/0885066620917630">https://journals.sagepub.com/doi/abs/1...

Outcomes Associated With Norepinephrine Use Among Cardiac Intensive Care Unit Patients With Severe Shock

https://journals.lww.com/shockjournal/Abstract/9000/Outcomes_Associated_With_Norepinephrine_Use_Among.97281.aspx">https://journals.lww.com/shockjour...

Here we go again... Comparison of Dopamine and Norepinephrine in the Treatment of Shock

https://www.nejm.org/doi/full/10.1056/nejmoa0907118">https://www.nejm.org/doi/full/...

Onto Vasopressin - VASST/VANISH

https://jamanetwork.com/journals/jama/fullarticle/2540403

https://jamanetwork.com/journals/... href="https://twitter.com/agordonICU">@agordonICU

@agordonICU" title="Onto Vasopressin - VASST/VANISH https://jamanetwork.com/journals/... href="https://twitter.com/agordonICU">@agordonICU" class="img-responsive" style="max-width:100%;"/>

SO when would you add in a second vasopressor??

I use vasopressin as my add on vasopressor...

Clinical pearls - tips and tricks..

Have you got the diagnosis? Have you got source control?

Management of Refractory Vasodilatory Shock
@accpchest
https://journal.chestnet.org/article/S0012-3692(18)30072-2/abstract">https://journal.chestnet.org/article/S...

$Management of Refractory Vasodilatory Shock @accpchest https://journal.chestnet.org/article/S...$

FOllowing nicely on from Dr Jentzen, @ArthurvanZanten

Terlipressin versus norepinephrine as infusion in patients with septic shock: a multicentre, randomised, double-blinded trial

@yourICM
https://pubmed.ncbi.nlm.nih.gov/29971593/ ">https://pubmed.ncbi.nlm.nih.gov/29971593/...

Probably good to take a step back and look at what colleagues from across the globe do....

A global perspective on vasoactive agents in shock
in @yourICM
@Glenn04716918 @agordonICU https://link.springer.com/article/10.1007/s00134-018-5242-5">https://link.springer.com/article/1...

A global perspective on vasoactive agents in shock

Purpose We set out to summarize the current knowledge on vasoactive drugs and their use in the management of shock to inform physicians’ practices. Methods This is a narrative review by a multidisc...

https://link.springer.com/article/10.1007/s00134-018-5242-5

An argipressin protocol anyone??

Wow - the netherlands have a vasopressin registry

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