Episode 913: Vasopressors after ROSC

Emergency Medical Minute

Indhold leveret af medicalminute and Emergency Medical Minute. Alt podcastindhold inklusive episoder, grafik og podcastbeskrivelser uploades og leveres direkte af medicalminute and Emergency Medical Minute eller deres podcastplatformspartner. Hvis du mener, at nogen bruger dit ophavsretligt beskyttede værk uden din tilladelse, kan du følge processen beskrevet her https://da.player.fm/legal.

2M ago 1:58

MP4•Episode hjem

Contributor: Travis Barlock MD

Educational Pearls:

Recent study assessed outcomes after ROSC with epinephrine vs. norepinephrine

Observational multicenter study from 2011-2018
285 patients received epineprhine and 481 received norepinephrine

Epinephrine was associated with an increase in all-cause mortality (primary outcome)

Odds ratio 2.6; 95%CI 1.4-4.7; P = 0.002
Higher cardiovascular mortality (secondary outcome)
Higher proportion of unfavorable neurological outcome (secondary outcome)

Norepinephrine is the vasopressor of choice in post-cardiac arrest care

References

Bougouin W, Slimani K, Renaudier M, et al. Epinephrine versus norepinephrine in cardiac arrest patients with post-resuscitation shock. Intensive Care Med. 2022;48(3):300-310. doi:10.1007/s00134-021-06608-7

Summarized by Jorge Chalit, OMSIII | Edited by Meg Joyce & Jorge Chalit

1069 episoder

#Emergency Medicine #Science #Fitness #medicalminute #Emergency Medical Minute #Medicine #Emergency #Medical #Emergencymedicine #Podcasting Education #Health and Well-Being