Vasopressors

What this episode covers

<br /> Vasopressor use in the Pediatric Emergency Department has been a moving target for my entire career. Back when I was a resident and fellow we used Dopamine. Then we went to epinephrine because it can be given through a peripheral IV because norepinephrine was too dangerous to run peripherally. But maybe that&#8217;s not entirely true. I talked about initial pressor choice and more in a recent recorded Zoom conference call with Critical Care Attending Matt Zackoff from Cincinnati Children&#8217;s. I hope you find his thoughts on vasopressor selection, pitfalls, and the emerging therapies as illuminating as I did.<br /> <br /> <br /> <br /> <a href="http://twitter.com/PEMTweets">Follow me on Twitter @PEMTweets</a><br /> <br /> <br /> <br /> <a href="http://facebook.com/PEMTweets">Check out the facebook page</a><br /> <br /> <br /> <br /> <a href="http://www.pemblog.com">PEMBlog.com</a><br /> <br /> <br /> <br /> References<br /> <br /> <br /> <br /> Sadoway et al. A systematic review of local complications from central and peripheral administration of vasopressors in the pediatric population. Canadian Journal of Emergency Medicine, 2019.<br /> <br /> <br /> <br /> <a href="https://www.sccm.org/getattachment/SurvivingSepsisCampaign/Guidelines/Pediatric-Patients/Initial-Resuscitation-Algorithm-for-Children.pdf?lang=en-US">Surviving Sepsis Campaign: Initial Algorithm for Children</a><br /> <br /> <br /> <br /> Weiss et al. Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-Associated Organ Dysfunction in Children.Pediatr Crit Care Med. 2020;21(2):e52. <br />