פוסט זה זמין גם ב:
עברית
Jul 23, 2024
Contributor: Travis Barlock MD
Educational Pearls:
-
Recent study assessed outcomes after ROSC with epinephrine vs. norepinephrine
-
Observational multicenter study from 2011-2018
-
285 patients received epineprhine and 481 received norepinephrine
-
-
Epinephrine was associated with an increase in all-cause mortality (primary outcome)
-
Odds ratio 2.6; 95%CI 1.4-4.7; P = 0.002
-
Higher cardiovascular mortality (secondary outcome)
-
Higher proportion of unfavorable neurological outcome (secondary outcome)
-
-
Norepinephrine is the vasopressor of choice in post-cardiac arrest care
References
-
Bougouin W, Slimani K, Renaudier M, et al. Epinephrine versus norepinephrine in cardiac arrest patients with post-resuscitation shock. Intensive Care Med. 2022;48(3):300-310. doi:10.1007/s00134-021-06608-7
