Advanced Pharmacotherapy in Critical Care Online-Ready, Set, Squeeze: Optimal Timing for Vasopressor Initiation (Ashish K. Khanna, MD, MS, FCCP, FASA, FCCM)

Ready, Set, Squeeze: Optimal Timing for Vasopressor Initiation (Ashish K. Khanna, MD, MS, FCCP, FASA, FCCM)

Video Transcription

Video Summary

The presentation titled "Ready, Set, Squeeze: Optimal Timing for Vasopressor Initiation" by Ashish Khanna discusses circulatory shock types, with distributive shock being the most common. Vasopressors are used to increase blood pressure in shock cases. The focus is on managing hypotension in sepsis with guidelines recommending norepinephrine as the first choice. The transcript covers the importance of maintaining mean arterial pressure, the use of vasopressors in early and refractory shock, and the potential benefits of multimodal vasopressors like vasopressin and angiotensin 2. Studies suggest that early initiation of vasopressors can improve outcomes. The need for further research on early multimodal vasopressor therapy and catecholamine sparing strategies in septic shock is emphasized. Adjunctive therapies like steroids and vitamin C are also mentioned as important in septic shock management.

Keywords

circulatory shock types

vasopressor initiation

hypotension management

norepinephrine guidelines

multimodal vasopressors

septic shock management

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