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

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.