Adrian Wong Profile picture
Consultant ICM/Anaes @KingsCritCare PhD candidate @KCLDocStudies @KingsCollegeLon Editor @WICSBottomLine Views my own.

Apr 8, 2021, 14 tweets

Afternoon learning #esicmtv

Revisiting some basic physiology on vasoactive drugs...

Vasopressor and Inotrope Therapy in Cardiac Critical Care
journals.sagepub.com/doi/abs/10.117…

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

journals.lww.com/shockjournal/A…

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

nejm.org/doi/full/10.10…

Onto Vasopressin - VASST/VANISH

jamanetwork.com/journals/jama/…

@agordonICU

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
journal.chestnet.org/article/S0012-…

FOllowing nicely on from Dr Jentzen, @ArthurvanZanten

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

@yourICM
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

link.springer.com/article/10.100…

An argipressin protocol anyone??

Wow - the netherlands have a vasopressin registry

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