Afternoon learning #esicmtv
Revisiting some basic physiology on vasoactive drugs...

Vasopressor and Inotrope Therapy in Cardiac Critical Care…
Outcomes Associated With Norepinephrine Use Among Cardiac Intensive Care Unit Patients With Severe Shock…
Here we go again... Comparison of Dopamine and Norepinephrine in the Treatment of Shock…
Onto Vasopressin - VASST/VANISH…

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
FOllowing nicely on from Dr Jentzen, @ArthurvanZanten
Terlipressin versus norepinephrine as infusion in patients with septic shock: a multicentre, randomised, double-blinded trial

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…
An argipressin protocol anyone??
Wow - the netherlands have a vasopressin registry

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More from @avkwong

7 Dec 20
Armed with a fish finger sandwich, its time for the lunchtime symposiums.

All cats are still gray in the dark: how to select and use inodilators in the ICU and acute cardiac care unit for the best efficacy and safety - an imaginative title

👓👓👓 #LIVES2020
During my training, I worked in hospitals which were essentially dobutamine-centric. Now its levosimendan and milrinone #LIVES2020
Read 7 tweets
7 Dec 20
Armed with coffee, Im at the case-based fundamental sessions. Discussing real cases and management strategies.

Would you do what the experts would do?

The classic case vignette of a septic patient being resuscitated - the audience is split between 30mls/kg of fluids or start a vasopressor. #LIVES2020

i suspect @Manu_Malbrain @khaycock2 et al have a view on the 30mls/kg option.
I like the fact that you can send your questions in on the platfrom. It can be intimidating to be handed a mic in a large room - I do anyway #LIVES2020
Read 7 tweets
6 Dec 20
Is the PCO2 gap a surrogate for assessing microcirculation? #LIVES2020
Perennially, it’s a technique that I would like to have more experience with.…
Can venous-to-arterial carbon dioxide differences reflect microcirculatory alterations in patients with septic shock? #LIVES2020…
Venous-to-arterial carbon dioxide difference in the resuscitation of patients with severe sepsis and septic shock: A systematic review #LIVES2020
Read 5 tweets
6 Dec 20
Next up - Beigel on REMDESIVIR #COVID19 #LIVES2020
The trials available on #REMDESIVIR for #covid19 #LIVES2020
Remdesivir for the Treatment of Covid-19 — Final Report
Read 9 tweets
6 Dec 20
The RECOVERY trial from @kennethbaillie himself #LIVES2020
What #RECOVERY did - pragmatic and adaptable in the face of the #COVID19 pandemic #LIVES2020
Influenza--time to target the host?
REvisiting an old concept.. #LIVES2020
Read 8 tweets
6 Dec 20
The opening plenary at #LIVES2020 is on language and how it affects the way we think
Prof Boroditsky
So I can speak 3 languages - English, Mandarin and Malay. So where do I fit? #LIVES2020
This is true. It takes me about 48 hours for my brain to readjust/retune to Malay and Chinese when I visit my family #LIVES2020
Read 4 tweets

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