Title: “Pressors, preload reducers, and pumping agents: Hemodynamic drip titration made easy”
Speaker: Alexander Johnson
Summary of Key Points:
I.
Introduction
II.
Endpoints: Optimizing the Macrocirculation and Microcirculation
a. Traditional Methods of Hemodynamic Monitoring
i. Urine Output, Mental Status, Heart Rate Can Mislead Clinicians
ii. Inaccuracies of Cardiac Filling Pressures (CVP, PAWP, etc.)
iii. Controversy Surrounding Pulmonary Artery Catheter
iv. Blood Pressure
1. Blood pressure Does Not Equal Blood Flow.
2. Blood Flow Can Decrease Blood Pressure Decreases
b. Optimizing the Macrocirculation
i. Stroke Volume
c. Optimizing the Microcirculation
i. Blood Lactate, ScvO2
III.
Components of Hemodynamic Monitoring
a. Preload
b. Afterload
c. Contractility
d. Value of Trending, Early Signs
IV.
Vasoactive Agents
a. Pressors (norepinephrine, dopamine)
b. Preload Reducers (nitroglycerin, furosemide)
c. Pumping Agents (dobutamine, milrinone)
d. Afterload reducers (nitroprusside)
V.
Case Studies
a. Fluid Resuscitation
b. Fluid Overload
c. Sepsis
d. Hypertension
Speaker Email: apjccrn@hotmail.com
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