Treating Vasodilatory Shock in the ICU

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Presentation transcript:

Treating Vasodilatory Shock in the ICU

Case Study: Admitting Presentation

Case Study: Lab Findings, Medications

Recommendations

Hospital Day 1

Additional Recommendations

At Least 2 of These 4 Criteria = SIRS

Hospital Day 2

Recommendation: Within 3 Hours of Time of Presentation*

Recommendation: Within 6 Hours of Time of Presentation

Fluid Therapy Recommendations

Why ICU?

Defining Shock

Differential Diagnosis: What Type of Shock?

Types of Shock

Hemodynamics in Vasodilatory Shock

Septic Shock: Scope of the Problem

Later That Day…

Delayed Transfer to ICU: Quantifying the Risk

Serum Lactate Levels

Blood Lactate Predicts Survival in 126 Patients With Shock From Various Origins

Importance of Dynamic Fluid Assessment

Goal-Directed Fluid Therapy Guided by Dynamic Assessment of Fluid Responsiveness

Arrival in ICU

Vasoactive Medications in Septic Shock

Prognosis for Patients With Treatment-Refractory Vasodilatory Shock

Outcomes for Patients Requiring High-Dose Vasopressors

Why Increased Mortality With High-Dose Vasopressors?

Systems Involved In Restoring Effective Blood Pressure

Angiotensin II Trials

Angiotensin II for the Treatment of Vasodilatory Shock: ATHOS-3

Angiotensin II: Current Status

Tying Up Our Case

Opportunities to Improve Care

Take-Home Points

Abbreviations

Abbreviations (cont)

Abbreviations (cont)