Comments on: Podcast 10 – Cardiogenic Shock http://emcrit.org/podcasts/cardiogenic-shock/ Online Medical Education on Emergency Department (ED) Critical Care, Trauma, and Resuscitation Fri, 10 Feb 2012 00:41:26 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Raghu http://emcrit.org/podcasts/cardiogenic-shock/#comment-61 Raghu Thu, 01 Oct 2009 14:50:52 +0000 http://emcrit.org/?p=128#comment-61 Hey Scott, Great lecture. I had a question on how to manage severe AS patients with heart failure in your ED. Conventional wisdom has taught that we should not vasodilate this patient because it can produce a precipitous drop in BP, since the heart can't increase cardiac output against the fixed stenosis. But I am aware of one study in NEJM where they gave nitroprusside and it improved cardiac output. What do you recommend? Also what are your thoughts on nicardipine for SCAPE? Raghu Hey Scott,

Great lecture. I had a question on how to manage severe AS patients with heart failure in your ED. Conventional wisdom has taught that we should not vasodilate this patient because it can produce a precipitous drop in BP, since the heart can’t increase cardiac output against the fixed stenosis. But I am aware of one study in NEJM where they gave nitroprusside and it improved cardiac output. What do you recommend? Also what are your thoughts on nicardipine for SCAPE?

Raghu

]]>