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https://forums.studentdoctor.net/threads/cardiogenic-shock-and-intubation.1298260/
Feb 19, 2018 · They need intubation and inotropic support. However, if your cardiologist is not cavalier and can do it under straight local that would be best for the patient. Be prepared however to rapidly secure the airway. This I would do with high dose narcotic (if in heart failure) with low dose propofol 0.3-0.5 mg/kg and sux 1.2 mg/kg followed by 10mcg ...
https://www.pharmaceutical-journal.com/learning/learning-article/use-of-inotropes-in-critical-care/11049283.fullarticle
It is sometimes used for bradycardic patients requiring inotropic support. Noradrenaline. Because noradrenaline acts primarily via a 1 receptors, it is usually used as a vasopressor (increasing SVR to maintain MAP) rather than an inotrope. It is often used with other inotropes, such as dobutamine, to maintain adequate perfusion, as discussed ...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1336727/
The patient became hemodynamically stable for a short period of time after intubation and required high-dose inotropic support; however, she became more hemodynamically labile despite additional inotropic agents, with a blood pressure of 63/39 mmHg and a central venous pressure of 28 mmHg on neosynephrine, epinephrine, dobutamine, and ...Cited by: 19
http://rcpals.com/downloads/nov2011/PEDIATRIC%20AND%20INFANT%20SHOCK.pdf
The catecholamine dose for inotropic support in cardiogenic shock must be individually titrated because there is a wide variability in clinical response. It is reasonable to use epinephrine, levosimendan, dopamine, or dobutamine for inotropic support in infants and children with cardiogenic shock.
https://www.cathlabdigest.com/articles/Cardiogenic-Shock-and-Hemodynamic-Support-A-Realistic-Management-Approach
Jun 19, 2008 · If respiratory decompensation, intubate and support ventilations. 5. Lactate level a prognostic indicator for survival from cardiogenic shock. 1 6. Echocardiogram for wall motion and valve function. ... Tachycardia is typically present and is related to sympathetic stimulation, a compensatory mechanism or may result from inotropic drug support ...
https://www.texasheart.org/heart-health/heart-information-center/topics/inotropic-agents/
Inotropic agents, or inotropes, are medicines that change the force of your heart's contractions. Positive inotropes strengthen the force of the heartbeat. Negative inotropes weaken the force of the heartbeat. Both kinds are used in the treatment of many different cardiovascular conditions.
https://ccme.osu.edu/ConferenceBrochure/1365-Cardiogenic%20Shock%20and%20Aortic%20Stenosis%202013.pdf
day period requiring intubation (versed drip) Hemodynamically stable (90-100/50s) but on 100% ... Hypotension requiring inotropic or pressor support or MAP < 60 mmHg ... Three is a paucity of data to support ideal management of these patients
https://dictionary.cambridge.org/dictionary/english/intubate
Fifteen children were intubated preoperatively, and 28 required inotropic support. From Cambridge English Corpus Each piglet was anesthetized with ketamine (30 mg/kg) and acepromazine (0.2 mg/kg) and was intubated.
https://www.drugs.com/drug-class/inotropic-agents.html
Inotropic agents are a group of medicines that affect the contraction of the heart muscle. Technically, inotropes can be divided into positive inotropes, which stimulate and increase the force of contraction of the heart muscle, and negative inotropes, which weaken the force of muscular contractions, decreasing how hard the heart has to work.
https://en.wikipedia.org/wiki/Inotrope
An inotrope is an agent that alters the force or energy of muscular contractions.Negatively inotropic agents weaken the force of muscular contractions. Positively inotropic agents increase the strength of muscular contraction. The term inotropic state is most commonly used in reference to various drugs that affect the strength of contraction of heart muscle (myocardial contractility).
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