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Google Keyword Rankings for : hypotension refractory to fluids
1
REFRACTORY HYPOTENSION—Diagnosis and ... - NCBI
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1574467/
Refractory hypotension is circulatory collapse of obscure cause which occurs in surgical patients who are thought to have a normal blood volume but in whom ...
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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1574467/
Refractory hypotension is circulatory collapse of obscure cause which occurs in surgical patients who are thought to have a normal blood volume but in whom ...
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2
Evaluation of Fluid Volume in Patients With Refractory ...
https://clinicaltrials.gov/ct2/show/NCT05101031
Official Title: Evaluation of Fluid Volume in Patients With Refractory Hypotension (Fresh-ER). Actual Study Start Date : December 18, 2020.
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https://clinicaltrials.gov/ct2/show/NCT05101031
Official Title: Evaluation of Fluid Volume in Patients With Refractory Hypotension (Fresh-ER). Actual Study Start Date : December 18, 2020.
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3
Refractory septic shock: our pragmatic approach - Critical Care
https://ccforum.biomedcentral.com/articles/10.1186/s13054-018-2144-4
Refractory septic shock is variably defined as the presence of hypotension, with end-organ dysfunction, requiring high-dose vasopressor ...
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https://ccforum.biomedcentral.com/articles/10.1186/s13054-018-2144-4
Refractory septic shock is variably defined as the presence of hypotension, with end-organ dysfunction, requiring high-dose vasopressor ...
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4
Refractory Hypotension
https://scholarlycommons.henryford.com/cgi/viewcontent.cgi?article=1470&context=hfhmedjournal
2) The principle of diminution of intravascular fluid volume in shock. Mann, 1915, discussed the concept of "bleeding volume" (and thus inferentially blood ...
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https://scholarlycommons.henryford.com/cgi/viewcontent.cgi?article=1470&context=hfhmedjournal
2) The principle of diminution of intravascular fluid volume in shock. Mann, 1915, discussed the concept of "bleeding volume" (and thus inferentially blood ...
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5
Fluid Resuscitation for Refractory Hypotension
https://www.readcube.com/articles/10.3389/fvets.2021.621696
Hypotension is a common occurrence, especially in anesthetized patients and in critical patients suffering from hypovolemia due to shock and ...
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https://www.readcube.com/articles/10.3389/fvets.2021.621696
Hypotension is a common occurrence, especially in anesthetized patients and in critical patients suffering from hypovolemia due to shock and ...
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6
Treatment of Catecholamine Refractory Hypotension in Septic ...
https://healthmanagement.org/s/treatment-of-catecholamine-refractory-hypotension-in-septic-shock-beyond-first-line-vasopressor
Loss of vascular tone in septic shock is a major contributor of hypotension. This is linked to an increased production of nitric oxide (NO), a potent ...
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https://healthmanagement.org/s/treatment-of-catecholamine-refractory-hypotension-in-septic-shock-beyond-first-line-vasopressor
Loss of vascular tone in septic shock is a major contributor of hypotension. This is linked to an increased production of nitric oxide (NO), a potent ...
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7
Fluid Management in Sepsis Hypotension and Septic Shock
https://journal.chestnet.org/article/S0012-3692(20)31448-3/fulltext
Time to Transition the Conversation From Fluid Responsive to Fluid Refractory? ... Management of IV fluid (IVF) delivery has been, and will remain, an essential ...
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https://journal.chestnet.org/article/S0012-3692(20)31448-3/fulltext
Time to Transition the Conversation From Fluid Responsive to Fluid Refractory? ... Management of IV fluid (IVF) delivery has been, and will remain, an essential ...
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8
Fluid Resuscitation for Refractory Hypotension - ResearchGate
https://www.researchgate.net/publication/349960742_Fluid_Resuscitation_for_Refractory_Hypotension
Therapeutic intervention involves fluid therapy to normalize volemia and use of sympathomimetics to enhance cardiac function and regulate ...
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https://www.researchgate.net/publication/349960742_Fluid_Resuscitation_for_Refractory_Hypotension
Therapeutic intervention involves fluid therapy to normalize volemia and use of sympathomimetics to enhance cardiac function and regulate ...
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9
Fluid Refractory Shock, Warm/Cold and Catecholamine ...
https://www.childrensmercy.org/health-care-providers/evidence-based-practice/cpgs-cpms-and-eras-pathways/sepsis-care-process-model/fluid-refractory-shock-warm-cold-and-catecholamine-resistant-shock/
Consider: Dobutamine starting dose: 5mcg/kg/min or Milrinone starting dose: 0.3mcg/kg/min, no loading dose. (Caution: Milrinone may cause hypotension.) ...
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https://www.childrensmercy.org/health-care-providers/evidence-based-practice/cpgs-cpms-and-eras-pathways/sepsis-care-process-model/fluid-refractory-shock-warm-cold-and-catecholamine-resistant-shock/
Consider: Dobutamine starting dose: 5mcg/kg/min or Milrinone starting dose: 0.3mcg/kg/min, no loading dose. (Caution: Milrinone may cause hypotension.) ...
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10
Fluid Resuscitation - an overview | ScienceDirect Topics
https://www.sciencedirect.com/topics/medicine-and-dentistry/fluid-resuscitation
The goal is to improve tissue perfusion and cardiac output in the case of reduced left ventricular preload. Prolonged hypotension is associated with increased ...
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https://www.sciencedirect.com/topics/medicine-and-dentistry/fluid-resuscitation
The goal is to improve tissue perfusion and cardiac output in the case of reduced left ventricular preload. Prolonged hypotension is associated with increased ...
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11
Diabetic Ketoacidosis and Fluid Refractory Hypotension
https://journals.sagepub.com/doi/10.1177/0009922815584549
In another study, it was shown that despite severe dehydration secondary to hypovolemia none of the children with DKA had hypotension and, on the contrary, 48% ...
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https://journals.sagepub.com/doi/10.1177/0009922815584549
In another study, it was shown that despite severe dehydration secondary to hypovolemia none of the children with DKA had hypotension and, on the contrary, 48% ...
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12
Septic Shock Treatment & Management - Medscape Reference
https://emedicine.medscape.com/article/168402-treatment
If the hypotension does not respond to a crystalloid fluid bolus of 30 mL/kg (1-2 L) over 30-60 minutes or if fluids cannot be infused rapidly ...
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https://emedicine.medscape.com/article/168402-treatment
If the hypotension does not respond to a crystalloid fluid bolus of 30 mL/kg (1-2 L) over 30-60 minutes or if fluids cannot be infused rapidly ...
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13
Refractory hypotension induced by Sheehan syndrome with ...
https://www.spandidos-publications.com/10.3892/etm.2017.4188
Refractory hypotension is a rare and severe complication of longstanding hypopituitarism induced by Sheehan syndrome with pituitary crisis. A 48 ...
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https://www.spandidos-publications.com/10.3892/etm.2017.4188
Refractory hypotension is a rare and severe complication of longstanding hypopituitarism induced by Sheehan syndrome with pituitary crisis. A 48 ...
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14
Double-Blind Randomized Clinical Trial Comparing ...
https://journals.lww.com/pccmjournal/fulltext/2016/11000/double_blind_randomized_clinical_trial_comparing.24.aspx
We compared efficacy of dopamine and epinephrine as first-line vasoactive therapy in achieving resolution of shock in fluid-refractory hypotensive cold septic ...
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https://journals.lww.com/pccmjournal/fulltext/2016/11000/double_blind_randomized_clinical_trial_comparing.24.aspx
We compared efficacy of dopamine and epinephrine as first-line vasoactive therapy in achieving resolution of shock in fluid-refractory hypotensive cold septic ...
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15
Vasopressor Nonresponse - NUEM Blog
https://www.nuemblog.com/blog/vasopressor-nonresponse
Refractory hypotension can be overcome with the use of direct cardiac pacing, calcium, glucagon, or high dose insulin. And if all else fails, ...
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https://www.nuemblog.com/blog/vasopressor-nonresponse
Refractory hypotension can be overcome with the use of direct cardiac pacing, calcium, glucagon, or high dose insulin. And if all else fails, ...
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16
Bolus dose of epinephrine for refractory post-arrest hypotension
https://www.cambridge.org/core/journals/canadian-journal-of-emergency-medicine/article/bolus-dose-of-epinephrine-for-refractory-postarrest-hypotension/30AA8E3FB1BA4CE1FE3DC3294B22415C
A bolus dose of epinephrine may be considered as a treatment for post-arrest hypotension that does not respond to IV fluids, but further studies should be ...
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https://www.cambridge.org/core/journals/canadian-journal-of-emergency-medicine/article/bolus-dose-of-epinephrine-for-refractory-postarrest-hypotension/30AA8E3FB1BA4CE1FE3DC3294B22415C
A bolus dose of epinephrine may be considered as a treatment for post-arrest hypotension that does not respond to IV fluids, but further studies should be ...
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17
Fluid Resuscitation for Refractory Hypotension. | Scinapse
https://www.scinapse.io/papers/3134672227
Hypotension is a common occurrence, especially in anesthetized patients and in critical patients suffering fro | Alexander Valverde | Frontiers in ...
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https://www.scinapse.io/papers/3134672227
Hypotension is a common occurrence, especially in anesthetized patients and in critical patients suffering fro | Alexander Valverde | Frontiers in ...
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18
Isolated hypotension after the induction of general anesthesia ...
http://www.e-mjm.org/2021/v76n2/anaphylaxis.pdf
We report a case of isolated hypotension during general anaesthesia who are refractory to fluids and repeated doses of vasopressors,.
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http://www.e-mjm.org/2021/v76n2/anaphylaxis.pdf
We report a case of isolated hypotension during general anaesthesia who are refractory to fluids and repeated doses of vasopressors,.
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19
Therapeutic Strategies for High-Dose Vasopressor ... - Hindawi
https://www.hindawi.com/journals/ccrp/2013/654708/
There is no consensual definition of refractory shock. The use of more than 0.5 mcg/kg/min of norepinephrine or epinephrine to maintain target blood pressure is ...
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https://www.hindawi.com/journals/ccrp/2013/654708/
There is no consensual definition of refractory shock. The use of more than 0.5 mcg/kg/min of norepinephrine or epinephrine to maintain target blood pressure is ...
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20
Still in Shock: A Terrifying Tale of Refractory Hypotension
https://publications.aap.org/pediatrics/article/147/3_MeetingAbstract/883/5854/Still-in-Shock-A-Terrifying-Tale-of-Refractory
Aggressive fluid resuscitation did not improve her blood pressure. Ceftriaxone and vancomycin were empirically given for 48 hours.
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https://publications.aap.org/pediatrics/article/147/3_MeetingAbstract/883/5854/Still-in-Shock-A-Terrifying-Tale-of-Refractory
Aggressive fluid resuscitation did not improve her blood pressure. Ceftriaxone and vancomycin were empirically given for 48 hours.
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21
Cardiogenic Shock | Journal of the American Heart Association
https://www.ahajournals.org/doi/full/10.1161/JAHA.119.011991
An SBP <90 mm Hg that is refractory to fluid resuscitation with clinical and laboratory evidence of end‐organ dysfunction, in the setting of ...
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https://www.ahajournals.org/doi/full/10.1161/JAHA.119.011991
An SBP <90 mm Hg that is refractory to fluid resuscitation with clinical and laboratory evidence of end‐organ dysfunction, in the setting of ...
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22
Fluid Therapy in Shock
https://www.vetsmall.theclinics.com/article/S0195-5616(98)50059-9/pdf
tain the blood pressure, and maintain perfusion to the vital organs (heart ... of the abdomen, if the patient appears to be refractory to fluid therapy,.
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https://www.vetsmall.theclinics.com/article/S0195-5616(98)50059-9/pdf
tain the blood pressure, and maintain perfusion to the vital organs (heart ... of the abdomen, if the patient appears to be refractory to fluid therapy,.
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23
Refractory Hypotension: A Detailed Case Discussion ... - Cureus
https://www.cureus.com/articles/105933-refractory-hypotension-a-detailed-case-discussion-and-current-literature-review
› articles › 105933-refractory-...
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https://www.cureus.com/articles/105933-refractory-hypotension-a-detailed-case-discussion-and-current-literature-review
› articles › 105933-refractory-...
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24
Methylene blue administration in patients with refractory ...
https://www.nature.com/articles/s41598-020-58828-4
Recently, new rescue methods have been introduced in the management of refractory shock including the use of low-dose corticosteroid ...
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https://www.nature.com/articles/s41598-020-58828-4
Recently, new rescue methods have been introduced in the management of refractory shock including the use of low-dose corticosteroid ...
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25
Septic Shock - EMCrit Project
https://emcrit.org/ibcc/sepsis/
Peripheral vasopressor may be started without delay to support the blood pressure. If the patient improves following fluid resuscitation, then ...
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https://emcrit.org/ibcc/sepsis/
Peripheral vasopressor may be started without delay to support the blood pressure. If the patient improves following fluid resuscitation, then ...
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26
Use of Intralipid® in managing refractory hypotension ...
https://link.springer.com/article/10.1007/s12630-014-0279-6
Systemic hypotension, a common side effect of epidural anesthesia, is commonly treated with intravenous fluids and vasopressors.1 ...
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https://link.springer.com/article/10.1007/s12630-014-0279-6
Systemic hypotension, a common side effect of epidural anesthesia, is commonly treated with intravenous fluids and vasopressors.1 ...
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27
Sepsis and septic shock: Guideline-based management
https://www.ccjm.org/content/87/1/53
Septic shock—Circulatory, cellular, and metabolic abnormalities in septic patients, presenting as fluid-refractory hypotension requiring ...
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https://www.ccjm.org/content/87/1/53
Septic shock—Circulatory, cellular, and metabolic abnormalities in septic patients, presenting as fluid-refractory hypotension requiring ...
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28
Advanced cardiovascular support in refractory shock Udupa ...
https://www.ijrc.in/article.asp?issn=2277-9019;year=2018;volume=7;issue=2;spage=67;epage=72;aulast=Udupa
Resuscitation from shock is achieved using a combination of fluid therapy, inotropes, and vasopressors. Refractory shock has been defined as ...
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https://www.ijrc.in/article.asp?issn=2277-9019;year=2018;volume=7;issue=2;spage=67;epage=72;aulast=Udupa
Resuscitation from shock is achieved using a combination of fluid therapy, inotropes, and vasopressors. Refractory shock has been defined as ...
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29
Vasopressors and Inotropes in Shock - Surgicalcriticalcare.net
http://www.surgicalcriticalcare.net/Guidelines/Vasopressors%20and%20Inotropes%20in%20Shock%202019.pdf
Vasopressors should be initiated in refractory hypotension despite adequate fluid and/or blood product resuscitation. In low cardiac output ...
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http://www.surgicalcriticalcare.net/Guidelines/Vasopressors%20and%20Inotropes%20in%20Shock%202019.pdf
Vasopressors should be initiated in refractory hypotension despite adequate fluid and/or blood product resuscitation. In low cardiac output ...
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30
Vasopressin and its analogues in shock states: a review
https://annalsofintensivecare.springeropen.com/articles/10.1186/s13613-020-0628-2
Should the initial resuscitation of fluids be restricted to hypotensive patients or patients with lactate greater than or equal to 4 mmol/L? In ...
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https://annalsofintensivecare.springeropen.com/articles/10.1186/s13613-020-0628-2
Should the initial resuscitation of fluids be restricted to hypotensive patients or patients with lactate greater than or equal to 4 mmol/L? In ...
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31
Septic shock - Illnesses and conditions | NHS inform
https://www.nhsinform.scot/illnesses-and-conditions/blood-and-lymph/septic-shock
low blood pressure (hypotension) that makes you feel dizzy when you stand up ... oxygen therapy; fluids given directly through a vein (intravenously) ...
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https://www.nhsinform.scot/illnesses-and-conditions/blood-and-lymph/septic-shock
low blood pressure (hypotension) that makes you feel dizzy when you stand up ... oxygen therapy; fluids given directly through a vein (intravenously) ...
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32
Fluid Response Evaluation in Sepsis Hypotension and Shock
https://usstarling.baxter.com/sites/g/files/ebysai3696/files/2020-10/Chest_10052020_0.pdf
BACKGROUND: Fluid and vasopressor management in septic shock remains controversial. In ... Other inclusion criteria included refractory hypotension, (mean.
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https://usstarling.baxter.com/sites/g/files/ebysai3696/files/2020-10/Chest_10052020_0.pdf
BACKGROUND: Fluid and vasopressor management in septic shock remains controversial. In ... Other inclusion criteria included refractory hypotension, (mean.
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33
Why did arterial pressure not increase after fluid administration?
https://www.medintensiva.org/en-why-did-arterial-pressure-not-articulo-S2173572717301960
Arterial hypotension represents the imbalance between the flow generated by the heart and the arterial system regulation. Although, arterial hypotension may ...
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https://www.medintensiva.org/en-why-did-arterial-pressure-not-articulo-S2173572717301960
Arterial hypotension represents the imbalance between the flow generated by the heart and the arterial system regulation. Although, arterial hypotension may ...
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34
Shock - Knowledge @ AMBOSS
https://www.amboss.com/us/knowledge/Shock/
Start immediately if hypotension is severe (simultaneously perform volume resuscitation). Start in patients who are not fluid responsive ...
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https://www.amboss.com/us/knowledge/Shock/
Start immediately if hypotension is severe (simultaneously perform volume resuscitation). Start in patients who are not fluid responsive ...
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35
The Use of Vasopressors and Inotropes in the Emergency ...
https://www.reliasmedia.com/articles/30962-the-use-of-vasopressors-and-inotropes-in-the-emergency-department-for-the-treatment-of-shock
One small study analyzed phenylephrine use in 13 patients with refractory hypotension despite fluid resuscitation and dopamine or dobutamine.13 ...
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https://www.reliasmedia.com/articles/30962-the-use-of-vasopressors-and-inotropes-in-the-emergency-department-for-the-treatment-of-shock
One small study analyzed phenylephrine use in 13 patients with refractory hypotension despite fluid resuscitation and dopamine or dobutamine.13 ...
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36
Sepsis Guidelines - OpenAnesthesia
https://www.openanesthesia.org/sepsis_guidelines/
Dopamine is the first choice of support for the pediatric patient with hypotension refractory to fluid resuscitation. Dopamine-refractory shock may reverse ...
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https://www.openanesthesia.org/sepsis_guidelines/
Dopamine is the first choice of support for the pediatric patient with hypotension refractory to fluid resuscitation. Dopamine-refractory shock may reverse ...
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37
PALS : Shock - Respond - NHCPS.com
https://nhcps.com/lesson/pals-shock-respond/
Therefore, treatment is focused on fluids first: 20 mL/kg bolus over 5 to 10 minutes; then reassess the person for a response. If hypotension does not respond ...
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https://nhcps.com/lesson/pals-shock-respond/
Therefore, treatment is focused on fluids first: 20 mL/kg bolus over 5 to 10 minutes; then reassess the person for a response. If hypotension does not respond ...
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38
What is fluid refractory hypotension? - Gzipwtf.com
https://gzipwtf.com/what-is-fluid-refractory-hypotension/
What is fluid refractory hypotension? ... Refractory hypotension is circulatory collapse of obscure cause which occurs in surgical patients who ...
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https://gzipwtf.com/what-is-fluid-refractory-hypotension/
What is fluid refractory hypotension? ... Refractory hypotension is circulatory collapse of obscure cause which occurs in surgical patients who ...
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39
Shock - Critical Care Medicine - Merck Manuals
https://www.merckmanuals.com/professional/critical-care-medicine/shock-and-fluid-resuscitation/shock
Treatment is with fluid resuscitation, including blood products if necessary, ... Blood pressure is not always low in the early stages of shock (although ...
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https://www.merckmanuals.com/professional/critical-care-medicine/shock-and-fluid-resuscitation/shock
Treatment is with fluid resuscitation, including blood products if necessary, ... Blood pressure is not always low in the early stages of shock (although ...
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40
Hypotension / Shock | Vanderbilt Core Clinical Curriculum
https://medschool.vanderbilt.edu/vc3/shock/
Hypotension / Shock · severe bleeding · heart attacks · severe burns · severe bacterial infections · abdominal emergencies · excessive loss of body fluids · crush ...
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https://medschool.vanderbilt.edu/vc3/shock/
Hypotension / Shock · severe bleeding · heart attacks · severe burns · severe bacterial infections · abdominal emergencies · excessive loss of body fluids · crush ...
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41
Webinar-Slides-Shock-Pinson-Tang-08.2022.pdf
https://pinsonandtang.com/wp-content/uploads/2022/08/Webinar-Slides-Shock-Pinson-Tang-08.2022.pdf
Diagnostic Criteria. Hypotension refractory to effective fluid resuscitation: • Systolic blood pressure (SBP) < 90 mmHg, or.
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https://pinsonandtang.com/wp-content/uploads/2022/08/Webinar-Slides-Shock-Pinson-Tang-08.2022.pdf
Diagnostic Criteria. Hypotension refractory to effective fluid resuscitation: • Systolic blood pressure (SBP) < 90 mmHg, or.
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42
Effect of methylene blue on refractory neonatal hypotension
https://www.jpeds.com/article/S0022-3476(96)70036-7/abstract
Effect of methylene blue on refractory neonatal hypotension ... The infant was delivered through thick meconium-stained amniotic fluid.
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https://www.jpeds.com/article/S0022-3476(96)70036-7/abstract
Effect of methylene blue on refractory neonatal hypotension ... The infant was delivered through thick meconium-stained amniotic fluid.
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43
Fluid bolus therapy • LITFL • CCC Resuscitation
https://litfl.com/fluid-bolus-therapy/
The rationale and evidence base for this approach to hypotension management is controversial · In septic shock it is inferred that the distributive shock state ...
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https://litfl.com/fluid-bolus-therapy/
The rationale and evidence base for this approach to hypotension management is controversial · In septic shock it is inferred that the distributive shock state ...
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44
Terlipressin Versus Norepinephrine to Correct Refractory ...
https://pubs.asahq.org/anesthesiology/article/98/6/1338/39405/Terlipressin-Versus-Norepinephrine-to-Correct
Terlipressin and norepinephrine corrected arterial hypotension in all cases. However, time spent with systolic arterial blood pressure below 90 mmHg was less in ...
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https://pubs.asahq.org/anesthesiology/article/98/6/1338/39405/Terlipressin-Versus-Norepinephrine-to-Correct
Terlipressin and norepinephrine corrected arterial hypotension in all cases. However, time spent with systolic arterial blood pressure below 90 mmHg was less in ...
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45
Some degree of hypotension after the induction - AANA
https://www.aana.com/docs/default-source/aana-journal-web-documents-1/refractory-hypotension-1017-pp340-344.pdf?sfvrsn=1b2c45b1_6
Patients who take RAAS antagonists on the morning of surgery are at risk of developing hypotension under anesthesia that is refractory to treatment with fluid ...
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https://www.aana.com/docs/default-source/aana-journal-web-documents-1/refractory-hypotension-1017-pp340-344.pdf?sfvrsn=1b2c45b1_6
Patients who take RAAS antagonists on the morning of surgery are at risk of developing hypotension under anesthesia that is refractory to treatment with fluid ...
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46
Colloids in Dialytic Refractory Hypotension | IntechOpen
https://www.intechopen.com/chapters/43083
Intradialytic hypotension is the most common complication of hemodialysis,occurring in up to 33% of patients. There are two main clinical patterns of dialysis- ...
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https://www.intechopen.com/chapters/43083
Intradialytic hypotension is the most common complication of hemodialysis,occurring in up to 33% of patients. There are two main clinical patterns of dialysis- ...
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47
Current use of vasopressors in septic shock - UCL Discovery
https://discovery.ucl.ac.uk/10068551/1/s13613-019-0498-7.pdf
shock, defined as persistent hypotension despite fluid resuscitation [15–17]. ... in refractory hypotension [20] was resent to the experts.
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https://discovery.ucl.ac.uk/10068551/1/s13613-019-0498-7.pdf
shock, defined as persistent hypotension despite fluid resuscitation [15–17]. ... in refractory hypotension [20] was resent to the experts.
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48
Fluid resuscitation in sepsis: the great 30 mL per kg hoax - Marik
https://jtd.amegroups.com/article/view/34911/html
The strong recommendation that septic patients with hypotension or an elevated ... due to delayed cardiovascular collapse producing refractory shock (26).
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https://jtd.amegroups.com/article/view/34911/html
The strong recommendation that septic patients with hypotension or an elevated ... due to delayed cardiovascular collapse producing refractory shock (26).
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49
Angiotensin II (Giapreza®) - Intravenous Therapy for the ...
https://www.pshp.org/news/428130/Angiotensin-II-Giapreza---Intravenous-Therapy-for-the-Treatment-of-Septic-Shock.htm
If the fluid resuscitation fails and the patient continues to have severe hypotension (MAP <70 mmHg), an appropriate vasopressor is used.
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https://www.pshp.org/news/428130/Angiotensin-II-Giapreza---Intravenous-Therapy-for-the-Treatment-of-Septic-Shock.htm
If the fluid resuscitation fails and the patient continues to have severe hypotension (MAP <70 mmHg), an appropriate vasopressor is used.
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50
Hypotension and Shock - dlums
http://www.dlums.rs/assets/hypotension-and-shock.pdf
providers are familiar with the pump-fluid-pipes model ... should be suspected in a hypotensive trauma patient ... use and refractory hypotension.
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http://www.dlums.rs/assets/hypotension-and-shock.pdf
providers are familiar with the pump-fluid-pipes model ... should be suspected in a hypotensive trauma patient ... use and refractory hypotension.
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51
Refractory Hypotension after Successful Cardiac Arrest ...
https://www.jemds.com/data_pdf/suresh%20jagan-i-apr-6-CR----C.pdf
After ROSC even with adequate fluid and blood transfusion which was assessed using serial. ABG CVP, IVC diameter measurement vasoplegia remained ...
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https://www.jemds.com/data_pdf/suresh%20jagan-i-apr-6-CR----C.pdf
After ROSC even with adequate fluid and blood transfusion which was assessed using serial. ABG CVP, IVC diameter measurement vasoplegia remained ...
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52
Hypotension and a positive fluid balance are associated with ...
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0200495
› plosone › article › journal.pone....
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https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0200495
› plosone › article › journal.pone....
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53
Refractory Hypotension in Man — Is This Irreversible Shock?
https://www.nejm.org/doi/10.1056/NEJM196210112671501
In a small but significant group shock refractory to the usual resuscitative measures develops. Such patients are considered to have blood, plasma or ...
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https://www.nejm.org/doi/10.1056/NEJM196210112671501
In a small but significant group shock refractory to the usual resuscitative measures develops. Such patients are considered to have blood, plasma or ...
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54
Septic shock - Rare Diseases & Critical Care - AOP Health
https://www.aop-health.com/global_en/rare-diseases/intensive-care/catecholamine-refractory-hypotension
Catecholamine refractory hypotension. Content: ... After initial fluid resuscitation, vasopressor therapy is required.
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https://www.aop-health.com/global_en/rare-diseases/intensive-care/catecholamine-refractory-hypotension
Catecholamine refractory hypotension. Content: ... After initial fluid resuscitation, vasopressor therapy is required.
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55
Using inotropes and vasopressors in anesthesia (Proceedings)
https://www.dvm360.com/view/using-inotropes-and-vasopressors-anesthesia-proceedings
Arterial hypotension is a common anesthetic complication. ... used in conditions refractory to fluid resuscitation and positive inotropes.
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https://www.dvm360.com/view/using-inotropes-and-vasopressors-anesthesia-proceedings
Arterial hypotension is a common anesthetic complication. ... used in conditions refractory to fluid resuscitation and positive inotropes.
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56
Refractory hypotension in preterm infants with adrenocortical ...
https://fn.bmj.com/content/84/2/F122
Cultures from blood, urine, and cerebrospinal fluid were sterile. Serial C reactive protein concentrations were consistently less than 9.9 mg/l (normal < 12.0 ...
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https://fn.bmj.com/content/84/2/F122
Cultures from blood, urine, and cerebrospinal fluid were sterile. Serial C reactive protein concentrations were consistently less than 9.9 mg/l (normal < 12.0 ...
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57
Intravenous Albumin for Mitigating Hypotension and ... - CJASN
https://cjasn.asnjournals.org/content/16/5/820
(A) In the historical model of capillary fluid exchange on the basis of Starlings ... status by colloids in refractory dialytic hypotension.
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https://cjasn.asnjournals.org/content/16/5/820
(A) In the historical model of capillary fluid exchange on the basis of Starlings ... status by colloids in refractory dialytic hypotension.
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58
Septic Shock
https://errolozdalga.com/medicine/pages/SepticShock.cr.7.22.10.html
Septic Shock · Cardiovascular: Hypotension that responds to fluids (vs septic shock - refractory to fluids), lactic acidosis (> 2), mottled skin or impaired ...
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https://errolozdalga.com/medicine/pages/SepticShock.cr.7.22.10.html
Septic Shock · Cardiovascular: Hypotension that responds to fluids (vs septic shock - refractory to fluids), lactic acidosis (> 2), mottled skin or impaired ...
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59
Shock: An Overview | Today's Veterinary Nurse
https://todaysveterinarynurse.com/emergency-medicine-critical-care/shock-an-overview/
Several factors that affect cardiac output and blood pressure, including the stretch of the ... Marked hypotension refractory to fluid therapy (<60 mm Hg).
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https://todaysveterinarynurse.com/emergency-medicine-critical-care/shock-an-overview/
Several factors that affect cardiac output and blood pressure, including the stretch of the ... Marked hypotension refractory to fluid therapy (<60 mm Hg).
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60
A Reminder of Methylene Blue's Effectiveness in Treating ...
https://meridian.allenpress.com/thij/article/42/5/491/85147/A-Reminder-of-Methylene-Blue-s-Effectiveness-in
Indeed the hypotension consequent to on-pump cardiac surgery often necessitates vasopressor and intravenous fluid support. Methylene blue ...
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https://meridian.allenpress.com/thij/article/42/5/491/85147/A-Reminder-of-Methylene-Blue-s-Effectiveness-in
Indeed the hypotension consequent to on-pump cardiac surgery often necessitates vasopressor and intravenous fluid support. Methylene blue ...
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61
Does Methylene Blue work for Refractory Shock? - County EM
http://blog.clinicalmonster.com/2016/03/21/refractory-shock/
After some time, the patient codes and while you are able get ROSC, the patient continues to be hypotensive despite numerous liters of fluids ...
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http://blog.clinicalmonster.com/2016/03/21/refractory-shock/
After some time, the patient codes and while you are able get ROSC, the patient continues to be hypotensive despite numerous liters of fluids ...
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62
Occult Causes of Non-Response to Vasopressors - REBEL EM
https://rebelem.com/occult-causes-of-non-response-to-vasopressors/
Anaphylaxis · Can present as hypotension alone · Diagnostic: History · Therapeutic: Epinephrine, Methylene blue, ECMO (in refractory cases) ...
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https://rebelem.com/occult-causes-of-non-response-to-vasopressors/
Anaphylaxis · Can present as hypotension alone · Diagnostic: History · Therapeutic: Epinephrine, Methylene blue, ECMO (in refractory cases) ...
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63
MORTALITY IS GREATER IN SEPTIC PATIENTS WITH ...
https://www.ingentaconnect.com/content/wk/shk/2017/00000048/00000003/art00004?crawler=true&mimetype=application/pdf
refractory hypotension (refractory to 1000mL or greater fluid bolus). Aims: To compare baseline characteristics, treat- ments, and outcomes of participants ...
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https://www.ingentaconnect.com/content/wk/shk/2017/00000048/00000003/art00004?crawler=true&mimetype=application/pdf
refractory hypotension (refractory to 1000mL or greater fluid bolus). Aims: To compare baseline characteristics, treat- ments, and outcomes of participants ...
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64
Use of Vasoactive Medicines for Septic Shock in Pediatric ...
https://www.tomwademd.net/use-of-vasoactive-medicines-for-septic-shock-in-pediatric-advanced-life-support-pals/
Norepinephrine* is the vasoactive agent of choice for the child with fluid refractory septic shock presents in basil dilated (“warm”) shock with ...
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https://www.tomwademd.net/use-of-vasoactive-medicines-for-septic-shock-in-pediatric-advanced-life-support-pals/
Norepinephrine* is the vasoactive agent of choice for the child with fluid refractory septic shock presents in basil dilated (“warm”) shock with ...
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65
Refractory hypotension in an autistic child on risperidone
https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/pdf/10.21466/ac.RHUAIAA.2017
The patient was given clear fluids until two hours before. 10. Page 2. Anaesthesia Cases surgery. General anaesthesia was induced with ...
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https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/pdf/10.21466/ac.RHUAIAA.2017
The patient was given clear fluids until two hours before. 10. Page 2. Anaesthesia Cases surgery. General anaesthesia was induced with ...
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66
What Is the Role of Steroids in Septic Shock? - The Hospitalist
https://www.the-hospitalist.org/hospitalist/article/125237/endocrinology/what-role-steroids-septic-shock
Her blood pressure upon presentation is 75/45 mm/Hg, her heart rate ... in systolic blood pressure of >40 mmHg from baseline) despite fluid ...
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https://www.the-hospitalist.org/hospitalist/article/125237/endocrinology/what-role-steroids-septic-shock
Her blood pressure upon presentation is 75/45 mm/Hg, her heart rate ... in systolic blood pressure of >40 mmHg from baseline) despite fluid ...
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67
Hypovolemic shock | ACLS-Algorithms.com
https://acls-algorithms.com/pediatric-advanced-life-support/pediatric-shock-overview-part-1/pals-review-hypovolemic-shock/
The loss of intravascular fluid volume which causes hypovolemic shock can have ... narrowing pulse pressure, possible systolic hypotension, capillary refill ...
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https://acls-algorithms.com/pediatric-advanced-life-support/pediatric-shock-overview-part-1/pals-review-hypovolemic-shock/
The loss of intravascular fluid volume which causes hypovolemic shock can have ... narrowing pulse pressure, possible systolic hypotension, capillary refill ...
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68
Acute Refractory Hypotension 24 Hours Post-Inferior Vena ...
https://www.journalmc.org/index.php/JMC/article/view/2204/1598
After initial fluid resuscitation with 8 L of crystalloid, the patient had a measured central venous pressure (CVP) of 3 cm H2O. After instituting vasopressor ...
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https://www.journalmc.org/index.php/JMC/article/view/2204/1598
After initial fluid resuscitation with 8 L of crystalloid, the patient had a measured central venous pressure (CVP) of 3 cm H2O. After instituting vasopressor ...
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69
Vasopressin and its analogues for the treatment of ... - Cochrane
https://www.cochrane.org/CD009171/NEONATAL_vasopressin-and-its-analogues-for-the-treatment-of-refractory-hypotension-in-neonates
Vasopressin and its analogues for the treatment of refractory hypotension in neonates ... Hypotension or low blood pressure occurs frequently in ...
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https://www.cochrane.org/CD009171/NEONATAL_vasopressin-and-its-analogues-for-the-treatment-of-refractory-hypotension-in-neonates
Vasopressin and its analogues for the treatment of refractory hypotension in neonates ... Hypotension or low blood pressure occurs frequently in ...
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70
FDA approves angiotensin II formulation (Giapreza) for blood ...
https://escavo.com/2017/12/22/fda-approves-angiotensin-ii-giapreza-increase-blood-pressure-adults-refractory-septic-shock/
... blood pressure maintenance in adults with refractory septic shock ... septic shock not responsive to IV fluids and other vasopressors.
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https://escavo.com/2017/12/22/fda-approves-angiotensin-ii-giapreza-increase-blood-pressure-adults-refractory-septic-shock/
... blood pressure maintenance in adults with refractory septic shock ... septic shock not responsive to IV fluids and other vasopressors.
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71
Pragmatic Recommendations for the Management of COVID ...
https://www.ajtmh.org/view/journals/tpmd/104/3_Suppl/article-p72.xml
Regarding fluid therapy for the treatment of COVID-19 patients with shock in ... recommend using low-dose corticosteroids in patients with refractory shock.
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https://www.ajtmh.org/view/journals/tpmd/104/3_Suppl/article-p72.xml
Regarding fluid therapy for the treatment of COVID-19 patients with shock in ... recommend using low-dose corticosteroids in patients with refractory shock.
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72
Clinical management guidelines of pediatric septic shock
https://www.ijccm.org/doi/IJCCM/pdf/10.4103/0972-5229.19683
hypotension refractory to fluid resuscitation. The choice of vasoactive agent is determined by the clinical exami- nation. Dopaminerefractory shock may ...
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https://www.ijccm.org/doi/IJCCM/pdf/10.4103/0972-5229.19683
hypotension refractory to fluid resuscitation. The choice of vasoactive agent is determined by the clinical exami- nation. Dopaminerefractory shock may ...
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73
Refractory Hypotension Following Heart Transplantation
https://www.jhltonline.org/article/S1053-2498(21)01324-3/fulltext
She notably developed progressive abdominal distention corresponding with fluid resuscitation. TEE showed a small hyperdynamic LV and a small ...
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https://www.jhltonline.org/article/S1053-2498(21)01324-3/fulltext
She notably developed progressive abdominal distention corresponding with fluid resuscitation. TEE showed a small hyperdynamic LV and a small ...
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74
Refractory Hypotension in a Patient with Wernicke's ...
https://academic.oup.com/alcalc/article/47/1/48/215603
Hypotension (90/60 mmHg) remained unchanged despite appropriate fluid replacement soon after admission. However, hypotension (90/60 mmHg) and the mental ...
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https://academic.oup.com/alcalc/article/47/1/48/215603
Hypotension (90/60 mmHg) remained unchanged despite appropriate fluid replacement soon after admission. However, hypotension (90/60 mmHg) and the mental ...
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75
Ready, set, (Vaso)Action! Vasoactive agents for ...
https://nyschp.memberclicks.net/assets/docs/EventsEducation/Gregory%20Kelly-NYSCHP%20Presentation.pdf
mortality in catecholamine refractory septic shock. ... Administer vasopressors for hypotension refractory to fluid resuscitation to ...
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https://nyschp.memberclicks.net/assets/docs/EventsEducation/Gregory%20Kelly-NYSCHP%20Presentation.pdf
mortality in catecholamine refractory septic shock. ... Administer vasopressors for hypotension refractory to fluid resuscitation to ...
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76
Management of Shock - PALS Online Handbook
https://advancedmedicalcertification.com/lesson/management-of-shock-pals-online-handbook/
Vasopressors are required if fluid resuscitation does not cause a response in hypotension. A broader neurological evaluation and treatment plan should be ...
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https://advancedmedicalcertification.com/lesson/management-of-shock-pals-online-handbook/
Vasopressors are required if fluid resuscitation does not cause a response in hypotension. A broader neurological evaluation and treatment plan should be ...
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77
Further Evidence Supporting Early Fluid Resuscitation in Sepsis
https://410medical.com/2019/12/31/further-evidence-supporting-early-fluids-recent-paper-demonstrates-survival-benefit-with-surviving-sepsis-fluid-compliance-regardless-of-comorbidities/
... risk factor for developing fluid-refractory septic shock, ... Even brief periods of arterial hypotension in the initial phase of sepsis ...
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https://410medical.com/2019/12/31/further-evidence-supporting-early-fluids-recent-paper-demonstrates-survival-benefit-with-surviving-sepsis-fluid-compliance-regardless-of-comorbidities/
... risk factor for developing fluid-refractory septic shock, ... Even brief periods of arterial hypotension in the initial phase of sepsis ...
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78
Fluid resuscitation for septic shock | Deranged Physiology
https://derangedphysiology.com/main/required-reading/infectious-diseases-antibiotics-and-sepsis/Chapter%201.2.1/fluid-resuscitation-septic-shock
Fluid resuscitation in sepsis is viewed as a mainstay of therapy, ... amount of fluid infused as their hypotension is the most refractory, ...
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https://derangedphysiology.com/main/required-reading/infectious-diseases-antibiotics-and-sepsis/Chapter%201.2.1/fluid-resuscitation-septic-shock
Fluid resuscitation in sepsis is viewed as a mainstay of therapy, ... amount of fluid infused as their hypotension is the most refractory, ...
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79
Shock - Pathology - Medbullets Step 1
https://step1.medbullets.com/pathology/106008/shock
in patients with septic shock and hypotension refractory to fluids and vasopressors, adrenal insufficiency should be suspected and treated ...
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https://step1.medbullets.com/pathology/106008/shock
in patients with septic shock and hypotension refractory to fluids and vasopressors, adrenal insufficiency should be suspected and treated ...
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80
Undifferentiated Hypotension and Shock - DynaMed
https://www.dynamed.com/approach-to/undifferentiated-hypotension-and-shock-approach-to-the-patient
distributive shock (may be called vasodilatory shock) defined as relative hypovolemia due to redistributed circulating volume (fluid shift) · cardiogenic shock.
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https://www.dynamed.com/approach-to/undifferentiated-hypotension-and-shock-approach-to-the-patient
distributive shock (may be called vasodilatory shock) defined as relative hypovolemia due to redistributed circulating volume (fluid shift) · cardiogenic shock.
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81
Reversal of Dopamine-Refractory Septic Shock by ... - JSTOR
https://www.jstor.org/stable/30112584
the blood pressure and compromise the circulation. Refrac- tory hypotension?hypotension unresponsive to fluid chal- lenge and vasopressor therapy?frequently ...
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https://www.jstor.org/stable/30112584
the blood pressure and compromise the circulation. Refrac- tory hypotension?hypotension unresponsive to fluid chal- lenge and vasopressor therapy?frequently ...
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82
Initial Resuscitation Algorithm for Children
https://www.sccm.org/getattachment/SurvivingSepsisCampaign/Guidelines/Pediatric-Patients/Initial-Resuscitation-Algorithm-for-Children.pdf.aspx?lang=en-US
Note: Fluid bolus should be omitted from bundle if a) fluid overload is present or b) it is a low-resource setting without hypotension. Fluid in mL/kg ...
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https://www.sccm.org/getattachment/SurvivingSepsisCampaign/Guidelines/Pediatric-Patients/Initial-Resuscitation-Algorithm-for-Children.pdf.aspx?lang=en-US
Note: Fluid bolus should be omitted from bundle if a) fluid overload is present or b) it is a low-resource setting without hypotension. Fluid in mL/kg ...
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83
Clinical outcome of children with fluid-refractory septic shock ...
http://rbti.org.br/exportar-pdf/0103-507X-rbti-32-04-0551-en.pdf
versus epinephrine) in children with fluid-refractory septic shock (FRSS). ... hypotension – systolic and/or diastolic blood pressure.
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http://rbti.org.br/exportar-pdf/0103-507X-rbti-32-04-0551-en.pdf
versus epinephrine) in children with fluid-refractory septic shock (FRSS). ... hypotension – systolic and/or diastolic blood pressure.
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84
Norepinephrine (Levophed®) - wvoems
https://www.wvoems.org/media/347116/21norepinephrine%20drug%20reference.pdf
refractory to fluid resuscitation and dopamine or dobutamine infusion. The norepinephrine infusion rate required to correct hypotension ranged from 0.2.
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https://www.wvoems.org/media/347116/21norepinephrine%20drug%20reference.pdf
refractory to fluid resuscitation and dopamine or dobutamine infusion. The norepinephrine infusion rate required to correct hypotension ranged from 0.2.
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85
Push-Dose Vasopressors: An Update for 2019 - EMDocs
http://www.emdocs.net/push-dose-vasopressors-an-update-for-2019/
Vasopressors are utilized to increase a patient's blood pressure ... was given for hypotension refractory to IV fluid administration [4].
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http://www.emdocs.net/push-dose-vasopressors-an-update-for-2019/
Vasopressors are utilized to increase a patient's blood pressure ... was given for hypotension refractory to IV fluid administration [4].
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86
Refractory Hypotension Associated With Hypocalcemia and ...
https://www.ajkd.org/article/S0272-6386(12)81007-9/fulltext
Left ventricular function and blood pressure worsened after intravenous infusion of saline and bicarbonate, but improved dramatically after intravenous calcium ...
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https://www.ajkd.org/article/S0272-6386(12)81007-9/fulltext
Left ventricular function and blood pressure worsened after intravenous infusion of saline and bicarbonate, but improved dramatically after intravenous calcium ...
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87
Cardiogenic Shock | Diseases and Disorders - Nursing Central
https://nursing.unboundmedicine.com/nursingcentral/view/Diseases-and-Disorders/73546/all/Cardiogenic_Shock
Elevated filling pressures in heart and low systolic blood pressure occur in the setting of low cardiac output; arterial constriction occurs as a compensatory ...
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https://nursing.unboundmedicine.com/nursingcentral/view/Diseases-and-Disorders/73546/all/Cardiogenic_Shock
Elevated filling pressures in heart and low systolic blood pressure occur in the setting of low cardiac output; arterial constriction occurs as a compensatory ...
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88
Midodrine use in intensive care unit patients recovering from ...
https://pulmonarychronicles.com/index.php/pulmonarychronicles/article/view/509/1097
... alpha (1)-agonist, refractory hypotension, intensive care unit ... level of >2 mmol/L persisting after adequate fluid resuscitation.
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https://pulmonarychronicles.com/index.php/pulmonarychronicles/article/view/509/1097
... alpha (1)-agonist, refractory hypotension, intensive care unit ... level of >2 mmol/L persisting after adequate fluid resuscitation.
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89
Pediatrics & Neonatology
https://www.pediatr-neonatol.com/article/S1875-9572(20)30206-0/pdf
Fluid dynamics and blood pressure. Through Ohm's law of electricity and fluid ... as vasodilatory septic shock, refractory hypotension with.
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https://www.pediatr-neonatol.com/article/S1875-9572(20)30206-0/pdf
Fluid dynamics and blood pressure. Through Ohm's law of electricity and fluid ... as vasodilatory septic shock, refractory hypotension with.
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90
The Difference Between Neonatal, Pediatric and Adult Sepsis ...
https://www.health.pa.gov/topics/Documents/Diseases%20and%20Conditions/Sepsis/The%20Difference%20Between%20Neonatal,%20Pediatric%20and%20Adult%20Sepsis.pdf
Septic Shock – Capillary refill > 3 seconds or hypotension ... Begin peripheral or central inotrope infusion therapy for fluid-refractory.
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https://www.health.pa.gov/topics/Documents/Diseases%20and%20Conditions/Sepsis/The%20Difference%20Between%20Neonatal,%20Pediatric%20and%20Adult%20Sepsis.pdf
Septic Shock – Capillary refill > 3 seconds or hypotension ... Begin peripheral or central inotrope infusion therapy for fluid-refractory.
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91
Desflurane sensitivity and refractory hypotension during living ...
http://www2.pedsanesthesia.org/meetings/2014winter/syllabus/submissions/aandp/nonmods/NM-233.pdf
[NM-233] Desflurane sensitivity and refractory hypotension during living-related ... Hypotension persisted despite phenylephrine infusion, fluid boluses, ...
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http://www2.pedsanesthesia.org/meetings/2014winter/syllabus/submissions/aandp/nonmods/NM-233.pdf
[NM-233] Desflurane sensitivity and refractory hypotension during living-related ... Hypotension persisted despite phenylephrine infusion, fluid boluses, ...
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92
SEPSISPAM - The Bottom Line
https://www.thebottomline.org.uk/summaries/icm/sepsispam/
SEPSISPAM: High versus low Blood-Pressure Target in Patients with ... Refractory to fluid resuscitation defined as lack of response to ...
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https://www.thebottomline.org.uk/summaries/icm/sepsispam/
SEPSISPAM: High versus low Blood-Pressure Target in Patients with ... Refractory to fluid resuscitation defined as lack of response to ...
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93
Vasodilatory shock - Wikipedia
https://en.wikipedia.org/wiki/Vasodilatory_shock
Refractory vasodilatory shock, refractory shock, irreversible shock, vasogenic shock, or vasoplegic shock. Specialty · Emergency medicine · Complications ...
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https://en.wikipedia.org/wiki/Vasodilatory_shock
Refractory vasodilatory shock, refractory shock, irreversible shock, vasogenic shock, or vasoplegic shock. Specialty · Emergency medicine · Complications ...
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94
Symptomatic Hypotension: ED Stabilization and Sonography
https://www.ebmedicine.net/topics/cardiovascular/symptomatic-hypotension
Refractory hypotension refers to persistently hypotensive readings after the administration of an intravenous crystalloid fluid bolus of ...
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https://www.ebmedicine.net/topics/cardiovascular/symptomatic-hypotension
Refractory hypotension refers to persistently hypotensive readings after the administration of an intravenous crystalloid fluid bolus of ...
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