Is there a "right" drug to choose when the blood pressure is low and more volume is not the answer in a pediatric patient?

Jennifer L. Liedel; Madelyn Kahana

doi:10.1007/978-3-319-43169-7_44

Is there a "right" drug to choose when the blood pressure is low and more volume is not the answer in a pediatric patient?

Yeshiva University
Montefiore Health System

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

Abstract

The choice of vasoactive medications in the setting of sepsis or systemic inflammation is an important one. Although there are no clear randomized controlled trials in children that demonstrate a clear better choice, the use of dopamine impacts anterior pituitary function and epinephrine does not. This discussion highlights the potential for harm dopamine exerts on the endocrine response to illness.

Original language	English
Title of host publication	You're Wrong, I'm Right
Subtitle of host publication	Dueling Authors Reexamine Classic Teachings in Anesthesia
Publisher	Springer International Publishing
Pages	147-149
Number of pages	3
ISBN (Electronic)	9783319431697
ISBN (Print)	9783319431673
DOIs	https://doi.org/10.1007/978-3-319-43169-7_44
State	Published - 1 Jan 2016
Externally published	Yes

Keywords

Inotropic support
Pediatric emergency medicine
Pediatric intensive care unit medicine
Respiratory syncytial virus
Upper respiratory tract infection

Access to Document

10.1007/978-3-319-43169-7_44

Cite this

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title = "Is there a {"}right{"} drug to choose when the blood pressure is low and more volume is not the answer in a pediatric patient?",

abstract = "The choice of vasoactive medications in the setting of sepsis or systemic inflammation is an important one. Although there are no clear randomized controlled trials in children that demonstrate a clear better choice, the use of dopamine impacts anterior pituitary function and epinephrine does not. This discussion highlights the potential for harm dopamine exerts on the endocrine response to illness.",

keywords = "Inotropic support, Pediatric emergency medicine, Pediatric intensive care unit medicine, Respiratory syncytial virus, Upper respiratory tract infection",

author = "Liedel, \{Jennifer L.\} and Madelyn Kahana",

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Is there a "right" drug to choose when the blood pressure is low and more volume is not the answer in a pediatric patient? / Liedel, Jennifer L.; Kahana, Madelyn.
You're Wrong, I'm Right: Dueling Authors Reexamine Classic Teachings in Anesthesia. Springer International Publishing, 2016. p. 147-149.

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review