Tuesday, October 27, 2020

Tag: shock

Angiotensin II infusion for refractory shock associated with improved hemodynamic stability and decreased vasopressor requirement

Brian Dougherty -
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1. The administration of angiotensin II among patients with refractory shock was associated with improved hemodynamic stability and decreased total vasopressor requirement at three hours. Evidence Level Rating: 2 (Good) Vasodilatory shock that is refractory to catecholamine- and arginine-based vasopressors is common in critical illness and associated with significant mortality, often...
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Intra-aortic balloon pumps do not improve mortality after severe acute myocardial infarctions

Anees Daud, MD -
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1. Based on a meta-analysis of randomized controlled trials examining the effect of intra-aortic balloon pumps (IABPs) in patients after acute myocardial infarctions, there was no mortality benefit achieved from this circulatory support, regardless of whether the patients were in cardiogenic shock. 2. Similarly, the meta-analysis of observational studies on...
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The SOAP-II trial: First-line vasopressor for shock management [Classics Series]

Aimee Li, MD -
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Image: PD 1. There were no significant differences in 28-day, 6-month, or 12-month mortality when comparing dopamine and norepinephrine as first-line vasopressors in managing shock. 2. Dopamine was associated with a significantly higher rate of arrhythmias, as well as severe arrhythmias that required stopping the study drug, when compared to norepinephrine. Original...
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