Hemodynamics Management

23 years old male with mental status changes, tachycardia and suppressed TSH level.

DanGer Shock Trial

Microaxial Flow Pump or Standard Care in Infarct-Related Cardiogenic Shock | New England Journal of Medicine (nejm.org)

Use and Outcomes of Peripheral Vasopressors in Early Sepsis-Induced Hypotension Across Michigan Hospitals - CHEST (chestnet.org)

Cardiogenic Shock Intravascular Cooling Trial (CHILL-SHOCK) - Journal of Cardiac Failure (onlinejcf.com)

Post cardiac arrest, CPR 15 min , ROSC achieved

VExUS for evaluation of venous congestion in a patient with mixed cardiogenic and distributive shock, acute respiratory failure, bibasilar infiltrates, and acute kidney injury.

Step 1: IVC diameter is 2.5 cm

Step 2: hepatic vein doppler assessment showing reversal of the systolic wave.

ECLS-SHOCK trial investigated the effect of early extracorporeal life support (ECLS) on mortality in patients with heart attack-induced cardiogenic shock who were planned for early revascularization. Patients were assigned to ECLS plus medical treatment or medical treatment alone. After 30 days, mortality rates were similar between groups (ECLS: 47.8%, Control: 49.0%). ECLS patients had more bleeding (23.4% vs. 9.6%) and vascular complications (11.0% vs. 3.8%). ECLS didn't lower 30-day mortality in patients with infarct-related cardiogenic shock.

Extracorporeal Life Support in Infarct-Related Cardiogenic Shock | NEJM