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

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Monday, January 23, 2023

Cardiogenic Shock

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.