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

https://www.nejm.org/doi/full/10.1056/nejmoa0907118
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?
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/ 
An argipressin protocol anyone??
Wow - the netherlands have a vasopressin registry
You can follow @avkwong.
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