Critical Care Fundamentals: Management of Shock Part 2B

Shock is defined as circulatory failure leading to decreased organ perfusion. In a shock state there is an inadequate delivery of oxygenated blood to tissues that results in end-organ dysfunction. Effective resuscitation includes rapid identification and correction of inadequate circulation. the finding of normal hemodynamic parameters (i.e. normal blood pressure) doe not exclude shock itself. In this 17 minute and 26 second video, I will review the management shock – part 2b (Dobutamine, Milrinone, Vasopressin, Angiotensin II, & Selepressin).

[embedyt] https://www.youtube.com/watch?v=ghIFb2WCC5Q[/embedyt]

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References:

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De Backer D et al. Comparison of Dopamine and Norepinephrine in the Treatment of Shock. NEJM 2010. PMID: 20200382
Ventura AM et al.Double-Blind Prospective Randomized Controlled Trial of Dopamine Versus Epinephrine as First-Line Vasoactive Drugs in Pediatric Septic Shock. Crit Care Med 2015. PMID:26323041
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