NEXTGEN LEARNING DESIGNED TO ELEVATE YOUR AIRWAY PRACTICE
You can stay ahead of the game, if you understand the impact sedation and intubation will have on your hypotensive patient, and act to prevent it from happening in the first place.
After listening here, scroll down, or go directly to the content you want by using the links below👇
Start Early Be Ready with Boluses
For patients in shock who need intubation don’t delay pressors. Typically start with an inopressor like norepinephrine and be ready with “push-dose” boluses of epinephrine or phenylephrine post-intubation for sudden drops in pressure.
Norepinephrine is a great all rounder. Often called an Inopressor because of its vasopressor and inotropic effects that lead to both increased cardiac contractility and increased peripheral vasoconstriction. Other examples include Epinephrine and Dopamine.
At lower doses epinephrine has beta-agonist effects that predominate; with increasing doses it has increasing alpha-agonist effects. This makes it great for bradycardia and cariogenic shock. First-line agent for anaphylactic shock. Another great “push-dose” pressor in the peri-intubation period.
A pure alpha-agonist that causes arterial and venous vasoconstriction. Often given in a “push-dose” for peri-intubation hypotension. Great for vasodilatory shock.
For a deeper dive on pressors there is no better place than the Internet Book of Critical Care.Another great FOAMED resource that you should add to your compendium to build your learning network.
Guided practice tools are an essential part of the PAC design: allowing you multiple opportunities to get hands on practice and expert coaching.
- Find tabletop card & snap QR code.
- Use self-guided resources to practice in a judgement free zone
- Connect with a remote coach
- Work with in person faculty at one of our live events.