When Should We Start Vasopressin in Septic Shock?

April 15, 2025 00:25:31
When Should We Start Vasopressin in Septic Shock?
Critical Care Perspectives in Emergency Medicine
When Should We Start Vasopressin in Septic Shock?

Apr 15 2025 | 00:25:31

/

Show Notes

Sepsis results in more than 250,000 deaths each year in the United States. Resuscitation of the septic patient centers on timely recognition, early antibiotic administration, appropriate fluid administration, source control, and vasopressor administration for those with inadequate mean arterial pressures. At present, norepinephrine is the recommended first-line vasopressor for sepsis.  Current guidelines then recommend vasopressin as the second-line vasopressor agent, but the optimal timing of its initiation remains unknown. In this podcast, we discuss a recent article on the use of a machine learning tool for vasopressin administration to optimize short- and long-term outcomes in patients with sepsis.

Other Episodes

Episode 0

March 27, 2020 00:24:17
Episode Cover

Vitamin C for Septic Shock?

In 2017, Paul Marik published a single-center retrospective before-and-after study that demonstrated significant mortality benefit to patients with septic shock who received a cocktail...

Listen

Episode 0

June 19, 2017 00:17:50
Episode Cover

Angiotensin II for Vasodilatory Shock?

This month Mike McCurdy rejoins the podcast to discuss the ATHOS-3 trial.  Mike was one of the co-authors on this impressive publication and gives...

Listen

Episode

June 07, 2024 00:22:24
Episode Cover

Cefepime vs. Piperacillin-Tazobactam for Infection?  The ACORN Trial

Timely and appropriate administration of empiric broad-spectrum antibiotics for adult patients with sepsis is critical.  Current guidelines recommend an antipseudomonal antibiotic for those at...

Listen