Today, we have a new CV-EMCrit episode: Inotropes Part II with Editor of CV-EMCrit, Trina Augustin. Last week we discussed the specific agents; this week we talk scenarios.
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Editor-in-Chief, at EMCrit.org
An ED Intensivist from NY.
Professor
Nassau University Medical Center
No conflicts of interest (coi).
Professor
Nassau University Medical Center
No conflicts of interest (coi).
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Great tips from two great teachers/intensivists! A couple thoughts I had as I listened: (1) For the normotensive LV cardiogenic shock patient, I’d like to plug afterload reduction with something like nitroprusside (https://doi.org/10.1016/j.jacc.2008.02.083). More energetically favorable to reduce afterload than to try to augment contractility when you can. (2) Definitely a fan of vaso in the RV failure patient for protecting the systemic blood pressure. I will say that we have less of an idea of what happens to the PVR on higher doses (which would make me nervous to push it). I think ongoing advanced hemodynamic monitoring is essential… Read more »
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great
Great 2 parts…..long awaited, Scott.
Maybe this could now serve as a great segway to cardiogenic shock as the 4th physiologically difficult airway? From HOP to CHOP ? 😛
Please add the “Expanded” Ionotropic points of view in another episode.
Hey Scott,
Harry here, a finally year medical student from Queensland Australia
CVemcrit series with Trina has been exceptional. Just wanted to make a comment to suggest a CVemcrit shadow boxing series with Trina. The past shadow boxing series was excellent at putting key concepts together and would be something I’d love to see again.
Thanks for your ongoing work on the podcast. They’re the best critical care teaching I’ve had so far in my very limited career.
Hello Scott, would love to have some summaries of the podcast to for people like me who need reminders / reinforcement to keep details / nuances in my brain.
Could AI summaries help your workflow for this ?
Cheers!
Tushar