emDOCs - January 23, 2023 - By Mary Hamblen; J.D. Cambron
Reviewed by: Jessica Pelletier; Marina Boushra; Brit Long
Pearls and Pitfalls- Recent MI is the most common cause of CS.
- Norepinephrine is often the vasopressor of choice in CS unless a significant contraindication exists.
- The RV benefits from lower PEEP. The LV benefits from higher PEEP.
- NIPPV/HFNC are the first-line interventions for respiratory distress in CS, but if the patient needs to be intubated, the use of hemodynamically-stable induction agents such as etomidate and ketamine is advised.
- It is important to have an idea of the primary cause of CS since treatment varies by etiology.
- Avoid CCB in all forms of CS.