Today, I review, link to, embed, and excerpt from CriticalCareNow‘s “Vasoplegia Vexations“.
You will need to watch this video on YouTube’s link “Vasoplegia Vexations“.
Here are the YouTube Notes.
Sara E. Crager, MD (@teachicu) from the ResusX:ReUnion resuscitation conference:
Your patient’s blood pressure won’t budge despite max-dose pressors and endless fluids. You might be dealing with vasoplegia, a frustrating state of refractory shock that requires a different approach.
🔍 KEY TOPICS IN THIS VIDEO
00:05 – The “Frustration” Diagnosis: When to Suspect Vasoplegia
01:50 – POCUS Pitfalls: 2 LV ‘Fake Outs’ That Deceive Clinicians 04:25 – The “Unstressed Volume” Problem: Why More Fluid Fails
07:45 – A 6-Step Protocol for Refractory Vasoplegic Shock
08:20 – Step 1-4: How to Diversify Your Vasopressors, Steroids, & Corrections
09:55 – Step 5: Correcting ‘Inappropriate’ Bradycardia
11:20 – Step 6: Rescue Therapy: Methylene Blue & Cyanokit 📢 CONNECT WITH US
Here are some slides from the YouTube video:
0:14
0:42 Septic Shock – Increased Vasodilatation. Vasoplexia – Impaired Vasoconstriction.
1:00
1:28
2:09 When you are in this situation (multiple things going wrong) you must do multiple POCUS exams to figure out what is going on
2:29: You see this left ventricle. It is banging away. It looks hyperdynamic. It looks underfilled.
2:57 But before you get too deep in to your negotiation with the apparently underfilled ventricle. Consider:
/ criticalcarenow
Instagram:/ criticalcarenow
Facebook:/ criticalcarenow
YouTube:/ criticalcarenow
Linkedin:/ criticalcarenow
Here are some slides from the YouTube video:0:140:42 Septic Shock – Increased Vasodilatation. Vasoplexia – Impaired Vasoconstriction.1:001:282:09 When you are in this situation (multiple things going wrong) you must do multiple POCUS exams to figure out what is going on2:29: You see this left ventricle. It is banging away. It looks hyperdynamic. It looks underfilled.2:57 But before you get too deep in to your negotiation with the apparently underfilled ventricle. Consider:
