Síguenos en Twitter     Síguenos en Facebook     Síguenos en Google+     Síguenos en YouTube     Siguenos en Linkedin     Correo Grupsagessa     Gmail     Yahoo Mail     Dropbox     Instagram     Pinterest     Slack     Google Drive     Reddit     StumbleUpon     Print


Mi foto
FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com


Buscar en contenido


martes, 19 de abril de 2016

Early Pressors in Septic Shock

emDocs - April 19, 2016 - Author: Long A - Edited by: Koyfman A & Long B
  • Vital signs are vital! Drops in blood pressure lead to increased mortality, and blood pressure may not respond simply to fluids.
  • Vasopressors should be started early in septic shock patients, but there is controversy as to how early and what subsets of patients would benefit most due to a lack of evidence currently available.
  • Delaying norepinephrine in a septic shock patient with a low MAP while first attempting to fluid resuscitate may increase morbidity and mortality, but further studies must be conducted to confirm this.
  • A drop in MAP causes renal hypoperfusion and renal injury contributing to further complications and possibly worsening shock.
  • It is essential to assess your patient’s fluid status and weigh the risk of renal injury when considering initiation of vasopressor therapy.