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Next up: Dr Elizabeth Munroe, when do we add vasopressors in #sepsis ?
#ATS2023 @atscommunity
Early vasopressors will:
- control shock faster
- allow leas fluids
Look up the #CENSER and #CLOVERS trials
#ATS2023 @atscommunity
Early vasopressors will:
- control shock faster
- allow leas fluids
Look up the #CENSER and #CLOVERS trials
In #CLOVERS restrictive fluid groups show no difference in major outcomes compared to liberal group
How do we administer vasopressors?
Do we always need a CVC?
Check out the reviews 👇🏻
Do we always need a CVC?
Check out the reviews 👇🏻
#CLOVERS trial: 84% had vasopressors started peripherally
✅ faster
✅ less fluids
42% of patients alive at day 3 never needed a CVC
Complication rate from peripheral vasopressors was low
No difference in major outcomes
✅ faster
✅ less fluids
42% of patients alive at day 3 never needed a CVC
Complication rate from peripheral vasopressors was low
No difference in major outcomes
✅Norepinephrine appears safe at low dose peripherally
⛔️ vasopressin not well studied and most prohibitive when used peripherally
#ATS2023
More evidence needed to assess when vasopressin needs to be added.
NE remains 1st line
⛔️ vasopressin not well studied and most prohibitive when used peripherally
#ATS2023
More evidence needed to assess when vasopressin needs to be added.
NE remains 1st line
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