cardiogenic shock norepinephrine epinephrine

Norepinephrine or Epinephrine in Cardiogenic Shock: Is One Better?

Which should be the first-line vasopressor between norepinephrine and epinephrine in cardiogenic shock?Your patient had an MI and is now in cardiogenic shock.They are hypotensive and need a vasopressor.To clarify, The Crit Doc of Tik Tok aka CriticalCareNow aka Haney Mallemat likes epinephrine as an inotrope, not a vasopressor.This was a pilot study, meaning that …

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Impella Medical Device: Using the Detroit Cardiogenic Shock Protocol

This is my first of many posts on the Impella system by Abiomed. It is going to be part of my "Cardiogenic Shock: Rise of the Machines" lecture for Portland in August 2020. I am planning on covering LVADs, RVADs, ECMO, TandemHeart, etc. in the upcoming months but one does not need to work at …

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Cardiogenic Shock: NICOM vs. Swan-Ganz Catheter

There are four types of shock: cardiogenic, distributive, obstructive, and hypovolemic. The study that I am taking apart here compared the NICOM monitor to a Swan-Ganz (Pulmonary artery) catheter in patients with cardiogenic shock. I routinely make a big deal of volume resuscitation regarding septic shock which obviously falls under the distributive shock type. Part …

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