I posted the slides for rapid review. But the talk is outstanding and can be profitably reviewed many times.
Today, I review, link to, and embed “How to use Vasoactive Drugs – Paediatric Emergencies 2024” from Paediatric Emergencies.
All that follows is from the above resource.
Dr Chris Flannigan talking about How to use Vasoactive Drugs. This talk is part of the Paediatric Emergencies 2024 event. To get your CME certificate for watching the video please visit https://www.paediatricemergencies.com… #PaediatricEmergencies #PaediatricEmergencies2024 #VasoactiveDrugs
Here are the slides:
0:29:
1:22 So what should we do? he asks the audience.
1:47 Most people chose
1:55:
Preload? Do I need to fill them with more fluid?
Do I need to improve the cardiac function?
Do I need to address the afterload?
2:17: And which of these complex methods [arterial line, CVP line, and POCUS] do we need to decide what to do; at least initially, none.
2:26: This patient is crashing and these are our goals:
3:57
4:14
7:32: So how do we give epinephrine (adrenaline)?
8:07 Don’t forget to account for the dead space.
8:53: Push dose adrenaline
9:38: Summary
11:14 – 12:47 Case 2
12:43
12:52 Most course participants went for Noraderenaline infusion
12:58 – 14:31 Dr. Flannigan agrees with the audience that noradrenaline 0.1 mcg/kg/min is the right choice and explains the details in this text.
14:32 -15:44 Dr. Flannigan discusses why he chose noradrenaline. See text above.
14:32:
15:45:Case 3:
16:38:
16:49: Course attendants chose:
16:56:
19:19 Case 4
20-:21 Attendants choice:
20:25 The lecturer’s goals for this patient:
23:05 Case 5
24:14
24:28 The course attendants chose:
24:40: Goals for Case 5
27:57 Summing Up
