Anaes Vivas · Vasopressors & inotropes
Clinical viva — choosing the vasopressor
A clinical viva on the vasopressor choice — the assess the mechanism (the vasoplegia vs the low CO vs the hypovolaemia); the metaraminol for the anaesthesia vasoplegia; the noradrenaline for the refractory; the inotrope for the low CO; the cause first.
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ANZCAFRCAABAEDAIC
Prompt
A junior asks how you choose between the vasopressors for the intraoperative hypotension. Walk through the decision.
Stimulus
A junior colleague asks how you choose between the vasopressors for the intraoperative hypotension. Walk through the decision.
References3ShowHide
- [1]Xie CM, et al. Hypotension prediction index in surgical patients: A systematic review and meta-analysis of randomized controlled trials. Medicine, 2026.PMID 42299539
- [3]Chatterjee S, et al. Vasoplegic shock after cardiac surgery. Ann Thorac Surg, 2026.PMID 42309294
- [42309295]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.