Epinephrine in cardiac arrest reanalysed
A post hoc reanalysis was performed on a 2009 JAMA paper comparing patients randomised to receive or not receive prehospital […]
Acute Med, All Updates, Guidelines, PHARM, Resus
vasoactive drugs
All Updates, PHARM, Resus
The REAL Shocked Patient
I promised to put some summary notes on the site for those who attended my talk on ‘The REAL Shocked […]
Acute Med, All Updates, ICU, Resus
Vasopressin – what it does and doesn't do
The current Surviving Sepsis campaign guidelines recommend that vasopressin should not be administered as the initial vasopressor in septic shock, […]
Acute Med, All Updates, ICU, Resus
Circulatory support in cardiogenic shock
An editorial1 reviewing options for circulatory support in patients with cardiogenic shock argues that traditional inotrope therapy may be replaced […]
Acute Med, All Updates, ICU, Kids, Resus
Why I don't give vasopressors in sepsis
It’s become popular to use the term ‘vasopressors’ or just ‘pressors’ when noradrenaline/norepinephrine or even (in some places still) dopamine […]
Acute Med, All Updates, Guidelines, ICU, PHARM, Resus
Still no cardiac arrest survival benefit from epinephrine?
A double blind randomised controlled trial showed significantly better rates of return of spontaneous circulation and hospital admission with the […]
Acute Med, All Updates, ICU, Resus
Nitric oxide for right ventricular cardiogenic shock
A case report describes a patient with right ventricular cardiogenic shock due to a dissected right coronary artery1. There was […]
All Updates, ICU, Kids, Resus
Steroids for sepsis in kids
A small retrospective study suggests adrenal insufficiency is common in kids with septic shock, and that steroid administration in these […]
Acute Med, All Updates, ICU, Resus
Vasoactive drugs in cardiogenic shock
I’m always on the look-out for evidence to guide vasoactive drug therapy, an area where much dogma is spouted by […]
All Updates, ICU, Resus
Norepinephrine increases preload
Noradrenaline (norepinephrine) may improve blood pressure in part through its venoconstriction effects, providing more venous return to the heart which […]