Do You Know How to Pick a Vasopressor for Patients in Shock?

In this fantastic lecture from ResusX, Dr. Sara Crager emphasizes the importance of a thoughtful and organized approach to selecting vasoactive medications for critical care and emergency medicine. She argues that simply memorizing tables and relying solely on evidence-based medicine doesn't provide the best solutions for complex patients in shock. Instead, she encourages healthcare providers to address why to start pressors by focusing on tissue hypoperfusion rather than just blood pressure, decide when to initiate pressors, and carefully consider which pressor to use based on the patient's shock physiology and potential side effects. Dr. Crager's approach takes into account the importance of addressing the right problem, balancing inotropy and vasoconstriction, and being mindful of arrhythmogenicity and pulmonary vascular resistance. This video provides valuable insights for healthcare professionals navigating the complex decisions surrounding vasoactive medications in critical care situations.
00:03 Introduction to Pressors
00:55 The Limitations of Evidence-Based Medicine
01:54 Understanding the Complexity of Patients and Providers
03:10 The Evolution of Pressors in Cardiogenic Shock
04:33 The Importance of Thinking in Pressor Selection
04:57 Developing an Organized Problem-Solving Approach
05:21 Understanding Hypotension and Hypoperfusion
08:21 Deciding When to Start Pressors
12:40 Choosing the Right Pressor
12:46 Pressors 101 and 201
17:26 Organized Problem-Solving Approach to Vasoactive Selection
19:35 Conclusion
Hashtags:
#PressorsExplained, #CriticalCareMedicine, #EmergencyMedicine, #VasoactiveMedications, #EvidenceBasedMedicine, #ComplexPatients, #ShockManagement, #PressorsSelection, #HypotensionVsHypoperfusion, #ArrhythmogenicPressors, #PulmonaryVascularResistance, #InotropicAgents, #Vasoconstrictors, #Vasodilators, #OrganizedProblemSolving

[@shoreshidoshi]

Most awesome...thank you Sara!

[@alptekinakturk4185]

This 201 table changed the way I look to pressors. Thank you ma'am.

[@CriticalCareNow]

Thanks for your comment

[@AlexanderRoux]

Sara Crager:
The holy grail of the right ventricle
Now the holy grail of pressor decision making

[@CriticalCareNow]

Haha! Well said

[@ManjitKaur-gr6jj]

🙏
You make everything so easy to understand

[@CriticalCareNow]

Thanks!

[@ManjitKaur-gr6jj]

Can Levo and Vaso be the first choice instead of phenly in neurogenic shock?

[@CriticalCareNow]

More recent evidence supports levo