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8 Apr, 14 tweets, 7 min read
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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More from @avkwong

Adrian Wong Profile picture
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
👓👓👓 #LIVES2020
During my training, I worked in hospitals which were essentially dobutamine-centric. Now its levosimendan and milrinone #LIVES2020
Read 7 tweets
Adrian Wong Profile picture
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?

#LIVES2020
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
Adrian Wong Profile picture
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.

lives2020.e-lives.org/session/pco2-g…
Can venous-to-arterial carbon dioxide differences reflect microcirculatory alterations in patients with septic shock? #LIVES2020
ncbi.nlm.nih.gov/pmc/articles/P…
Venous-to-arterial carbon dioxide difference in the resuscitation of patients with severe sepsis and septic shock: A systematic review #LIVES2020
pubmed.ncbi.nlm.nih.gov/28522141/
Read 5 tweets
Adrian Wong Profile picture
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
@JAMA_current
nejm.org/doi/full/10.10…
#LIVES2020
Read 9 tweets
Adrian Wong Profile picture
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 pubmed.ncbi.nlm.nih.gov/23841736/
Read 8 tweets
Adrian Wong Profile picture
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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