Discover and read the best of Twitter Threads about #septicshock
Most recents (3)
NEXT Speaker : VA ecmo for which patients?
Alain COMBES
Severe cardiogenic shock has different phenotypes
1. medical cardiogenic shock(AMI, end stage dilated CM, myocarditis, septic shock)
2. Post cardiotomy refractory CS (post CABG)
#LIVES2022
@ESICM #ecmo #resuscitation #ALS
Alain COMBES
Severe cardiogenic shock has different phenotypes
1. medical cardiogenic shock(AMI, end stage dilated CM, myocarditis, septic shock)
2. Post cardiotomy refractory CS (post CABG)
#LIVES2022
@ESICM #ecmo #resuscitation #ALS
@ESICM 2022 what do the guidelines say
- ESC recommends short term MCS should be considred in cardiogenic shock.
IABP may be considered but not routinely recommended in post MI
#LIVES2022
- ESC recommends short term MCS should be considred in cardiogenic shock.
IABP may be considered but not routinely recommended in post MI
#LIVES2022
As #MedTwitter regulars, you may have already heard that the #SurvivingSepsis Campaign has released the updated 2021 version of the International #Guidelines for Management of #Sepsis and #SepticShock!
But have you gone thru the updates yet?
A #Tweetorial (1/x):
But have you gone thru the updates yet?
A #Tweetorial (1/x):
There are 93 #recommendations made in the new publication. I don’t have time to write (or read) that kind of #Tweetorial and neither do you. That’s what the publication is for -> journals.lww.com/ccmjournal/Cit… !
But let’s hit the ✨highlights✨ starring Table 1: (2/x)
But let’s hit the ✨highlights✨ starring Table 1: (2/x)
Why we care (and we care so much!): Sepsis and septic shock affect millions of people globally each year, and kills somewhere between 1/6 and 1/3 of those diagnosed with the #syndrome. 1/3!!! 😳😢 (3/x)
Let's continue our week dedicated to vasoactive agents with the background and evidence for NE in #septicshock Through its alpha-adrenergic mediated effects, NE is able to increase pre load and SVR in pts who are pre-load responsive, which is common in early sepsis.
NE can also improve microcirculation when administered early. Increasing MAP in septic shock pts with severe hypotension improved microvascular blood flow in pressure-dependednt vascular beds, improving tissue oxygenation pubmed.ncbi.nlm.nih.gov/20689910/
NE is considered the 1st line pressor for its alpha-adrenergic mediated effects (increase SVR). Compared to dopamine, there was no diff in mortality, but dopamine had more adverse events (mainly arrhythmias) nejm.org/doi/full/10.10…)
