Shock: Lesson 5 - Pressors

A discussion of the physiology, pharmacology, and clinical use of vasopressors and inotropes, including phenylephrine, norepinephrine, epinephrine, dopamine, and dobutamine (among others).

[neharajpal]

I am a 4th year medical student preparing to start Internal Medicine Residency. This lecture series is a fantastic way to review physiology as it relates to the four different types of shock, and a phenomenal introduction to pressors for students and housestaff who may be preparing for an ICU rotation. Thanks Dr. Strong.

[riccardovianello]

Amazing as always Prof. Strong, your videos are my daily dope. I can't wait for the series about AbXR

[DrGalvis]

Hey, just found this channel. Love what you are doing...This type of media will be a huge benefiting factor in the future of medicine, at all levels. Cheers!

[rcorty]

I'm an intern in IM about to start my first ICU rotation (tomorrow!) -- this series on shock was a great help to me

[OptimizeNurse]

By far the best video I've seen on the subject!! Thank you!

[PavanMehat]

What an amazing video and great series! This has helped me so much prepare for my upcoming Shock Week! I love how you provide such a balanced and evidence based review on these important topics. You masterful broke down the studies highlighting the strengths and weaknesses of a landmark study!

I know these videos most take so much work and time but please keep them up, they are so unbelievably helpful to many future doctors. 😀

[calvinlimberg]

Very glad you pointed out some of the flaws of the SOAP II trial! I have found that vasopressor selection is highly patient-specific and I think that it is hard to select an agent based on anything but the clinical presentation of the patient.

[cmrinhfx]

You do an excellent job! I have subscribed & am making my way through them all. You are a gifted instructor!

[cfuenza]

Quite an honest ending! Thanks for this video series

[sunving]

Thank you Dr Strong. Your educational video is the best out there, especially for medical students, intern resident, to actually see patients, not just for examination. I like the last point at the end, that you enlighten me, about SOAP II. But why one has to use high dose of dopamine arm above conventional use, despite this would be great consequences of result of study. I don’t know it is true thatRecovery trial from UK which shown HCQ didn’t help and could be toxic, also use unusual high dose which used in liver abscess to kill Entamoeba Histolytica of 800 mg, instead of usual dose of 100 mg, 200 mg, which in RA, SLE,

[zakariyyagardee]

Hi Dr Strong. Thanks for the great videos. I wanted to ask if you plan to make a video on Maintenance Fluids? (You mentioned there would be one under the video "IV Fluid Resuscitation (IVF Lesson 3 / Shock Lesson 4)"

[sunving]

thank you very much, such a wonderful lecture. so practical.

[HafizahHoshni]

Awesomely informative and perfectly explained! Thank you so much! 😊😊 15/9/2019

[sunving]

Thank you very much I probably have to watch many time more of this series, .

[vourliotakisaggelos]

Hello! Just wanted to ask...since this video is somehow old, is there any chance that new guidelines came up? Thanks in advance! I really appreciate your work mr strong!

[mukhtarahmed]

Thanks you r a gift instructor from skies !

[rachurisuresh]

1. What if shock does not improve after resuscitation, boluses

2.once resuscitation phase is completed when to start maintenance fluid

[judypeng]

I had a patient with septic shock last week. Dr give me norepinephrine, but another nurse told me to call Dr again to ask for phenylephrine because her HR is 120 (A-fib), phenylephrine not increase HR. The Dr knows her HR, he was on the floor. I wondering norepinephrine construct vessels then the reflex of HR will decrease?

[arliawanarsadi]

We just dont know! 😂
Great lecture! Thank you

[husseinaskar]

are there any precautions in specific situations like CKD OR ESRD + shock and vasopressors or inotropes