An intensivist on a learning frenzy. Caring for the critically ill using evidence-based medicine.
This is one sexy pilot study about norepinephrine in cardiogenic shock. The authors here decided to take a look at norepinephrine (NE) versus epinephrine in patients with cardiogenic shock s/p MI. They didn't use dopamine as they had noted an article that I have reference here where I discussed how dopamine actually increases mortality in …
Continue reading Norepinephrine vs. Epinephrine in AMI Cardiogenic Shock
This is a question that is often asked. Do we give fluids until the patient no longer "responds to fluids" or start vasopressors early? Should we start early vasopressors in septic shock or wait until fluids resuscitation is complete?Here's my bias: I dislike arbitrarily pounding patients with fluids. It causes harm. We know this. I …
Does your friendly neighborhood cardiologist or intensivist start your Cardiogenic Shock patient on dopamine? Do you ever ask them when was the last time they read a study? I don’t mean to be harsh but this data is now almost a decade old. This study placed dopamine far down on the vasopressor selection totem pole. …
Continue reading Dopamine for Cardiogenic Shock: Shown to Increase Mortality.
