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Vasopressor Management in Septic Shock: Overview & Approach
Vasopressors are essential in managing septic shock by maintaining adequate perfusion pressure and organ perfusion. Initial management involves prompt recognition of septic shock and fluid resuscitation. Norepinephrine is typically the first-line vasopressor, acting through alpha-adrenergic receptors to increase systemic vascular resistance. If hypotension persists despite norepinephrine, a second-line vasopressor like vasopressin or epinephrine may be added. Dosing and titration aim to achieve a target mean arterial pressure of 65 mmHg or higher.
About the Speaker
Dr. Pooja Wadwa
Critical Care Medicine, ECMO specialist, FMRI, Gurgaon
Dr. Pooja is an Associate Consultant Critical care medicine at FMRI. She is a MD (Internal Medicine), Observer-ship, in ICU Royal Melbourne Hospital, Australia. Worked as a senior resident at Fortis Escorts Hospital, Faridabad for 2 years, Worked as a Consultant Physician in Wadwa Nursing Home, Faridabad, India from October 2009- December 2010, Worked as Consultant Physician at ESIC Hospital, Faridabad, India from May 2009- October 2009. Completed Indian Diploma in Critical Care Medicine (IDCCM) FROM Indraprastha Apollo Hospitals, New Delhi Jan 2011 Mar 2013.
Upcoming Case Discussions
Clinician’s Approach to Hypertensive Nephropathy
Many processes influence the management of chronic kidney disease (CKD) and lead to the development of hypertension in the disease. Increased sympathetic tone in patients with chronic kidney disease (CKD) is a result of afferent signals produced by functionally failing kidneys. The great majority of CKD patients suffer from hypertension, which can both cause and result from the disease. In people with CKD, controlling hypertension is crucial since it lowers the risk of CVD and slows the disease's course. There is no agreement on the ideal blood pressure (BP) targets provided by current guidelines. Consequently, when deciding how to care specific patients.
Anaphylaxis In Emergency Department
A dangerous systemic hypersensitivity reaction with a typically quick onset that can be fatal is anaphylaxis. Rapid onset of breathing, circulation,and/or airway issues are its defining characteristics. The most crucial treatment is intramuscular adrenaline, although many patients do not receive it even in medical facilities, despite recommendations to the contrary. The significance of positioning during the management of anaphylaxis and the necessity of avoiding activities that could postpone the timely and proper delivery of adrenaline. Antihistamines should only be used as a last resort when ABC characteristics have been successfully treated in order to lessen skin involvement.
Circulatory Shock In Trauma
The inability of the circulatory system to supply tissue oxygenation and organ perfusion necessary to meet cellular metabolic demands is known as shock. Although non-haemorrhagic shock, such as cardiogenic or neurogenic shock, can occur after trauma, hemorrhage is more frequently linked to trauma-related shock. Evidence gathered over the past ten years has shown that trauma patients suffer from acute traumatic coagulopathy (ATC), which is brought on by the actual process of injury. Damage control resuscitation (DCR), the current method for managing acute shock, was developed with this as a key component. Haemostatic resuscitation, which uses blood products as the main resuscitative fluid, permissive hypotension, and damage control surgery are the three main resuscitative techniques included in DCR.
Fertilization & Early Development
Fertilization occurs when a sperm cell merges with an egg cell, creating a zygote, which is the first stage of a new life. This process takes place in the fallopian tube. The zygote then undergoes rapid cell division, known as cleavage, forming a multi-cellular structure called a blastocyst. As the blastocyst moves toward the uterus, it continues to divide and develop. Approximately 5-7 days after fertilization, the blastocyst implants itself into the uterine lining, initiating pregnancy. Early development involves the formation of the foundational structures and systems that will shape the embryo.
Normalizing Conversations on Mental Health
Normalizing conversations about mental health is essential to breaking the stigma that surrounds mental illness. Open discussions encourage individuals to seek help without fear of judgment, making mental health care more accessible. By talking about mental health as we do physical health, we create a supportive environment where people feel understood and accepted. Education and awareness play crucial roles in changing perceptions and promoting empathy. When mental health becomes a regular part of our conversations, it fosters early intervention and better coping strategies. This cultural shift can lead to improved overall well-being and a reduction in mental health crises.
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Dr. Pooja Wadwa's Talks on Assimilate
- 3rd-June-2024, TIME : 5:00PM - 6:00PM
- 0
Vasopressors are essential in managing septic shock by maintaining adequate perfusion pressure and organ perfusion. Initial management involves prompt recognition of septic shock and fluid resuscitation. Norepinephrine is typically the first-line vasopressor, acting through alpha-adrenergic receptors to increase systemic vascular resistance. If hypotension persists despite norepinephrine, a second-line vasopressor like vasopressin or epinephrine may be added. Dosing and titration aim to achieve a target mean arterial pressure of 65 mmHg or higher.
- 3rd-June-2024, TIME : 5:00PM - 6:00PM
- 0
Vasopressors are essential in managing septic shock by maintaining adequate perfusion pressure and organ perfusion. Initial management involves prompt recognition of septic shock and fluid resuscitation. Norepinephrine is typically the first-line vasopressor, acting through alpha-adrenergic receptors to increase systemic vascular resistance. If hypotension persists despite norepinephrine, a second-line vasopressor like vasopressin or epinephrine may be added. Dosing and titration aim to achieve a target mean arterial pressure of 65 mmHg or higher.
- 3rd-June-2024, TIME : 5:00PM - 6:00PM
- 0
Vasopressors are essential in managing septic shock by maintaining adequate perfusion pressure and organ perfusion. Initial management involves prompt recognition of septic shock and fluid resuscitation. Norepinephrine is typically the first-line vasopressor, acting through alpha-adrenergic receptors to increase systemic vascular resistance. If hypotension persists despite norepinephrine, a second-line vasopressor like vasopressin or epinephrine may be added. Dosing and titration aim to achieve a target mean arterial pressure of 65 mmHg or higher.