Push-Dose Pressors During Peri-intubation Hypotension in the Emergency Department: A Case Series

Introduction: Emergency physicians frequently encounter critically ill patients in circulatory shock requiring definitive airway procedures. Performing rapid sequence intubation in these patients without blood pressure correction has lethal complications. Questioning the efficacy and fearing side ef...

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Autores principales:	Abdullah Bakhsh, Leena Alotaibi
Formato:	article
Lenguaje:	EN
Publicado:	eScholarship Publishing, University of California 2021
Materias:	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/380e8fa0cd8142479d2a3f5b30e3f914
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id	oai:doaj.org-article:380e8fa0cd8142479d2a3f5b30e3f914
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spelling	oai:doaj.org-article:380e8fa0cd8142479d2a3f5b30e3f9142021-11-23T20:02:51ZPush-Dose Pressors During Peri-intubation Hypotension in the Emergency Department: A Case Series2474-252X10.5811/cpcem.2021.4.51161https://doaj.org/article/380e8fa0cd8142479d2a3f5b30e3f9142021-11-01T00:00:00Zhttps://escholarship.org/uc/item/1b68w3f6https://doaj.org/toc/2474-252XIntroduction: Emergency physicians frequently encounter critically ill patients in circulatory shock requiring definitive airway procedures. Performing rapid sequence intubation in these patients without blood pressure correction has lethal complications. Questioning the efficacy and fearing side effects of push-dose pressors (PDP) has created an obstacle for their use in the emergency department (ED) setting. In this case series we describe the efficacy and side effects of PDP use during peri-intubation hypotension in the ED. Case series: We included 11 patients receiving PDPs in this case series. The mean increase in systolic blood pressure was 41.3%, in diastolic blood pressure 44.3%, and in mean arterial pressure 35.1%. No adverse events were documented in this case series. Conclusion: The use of push-dose pressors during peri-intubation hypotension may potentially improve hemodynamic status when used carefully in the ED.Abdullah BakhshLeena AlotaibieScholarship Publishing, University of CaliforniaarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENClinical Practice and Cases in Emergency Medicine, Vol 5, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Abdullah Bakhsh Leena Alotaibi Push-Dose Pressors During Peri-intubation Hypotension in the Emergency Department: A Case Series
description	Introduction: Emergency physicians frequently encounter critically ill patients in circulatory shock requiring definitive airway procedures. Performing rapid sequence intubation in these patients without blood pressure correction has lethal complications. Questioning the efficacy and fearing side effects of push-dose pressors (PDP) has created an obstacle for their use in the emergency department (ED) setting. In this case series we describe the efficacy and side effects of PDP use during peri-intubation hypotension in the ED. Case series: We included 11 patients receiving PDPs in this case series. The mean increase in systolic blood pressure was 41.3%, in diastolic blood pressure 44.3%, and in mean arterial pressure 35.1%. No adverse events were documented in this case series. Conclusion: The use of push-dose pressors during peri-intubation hypotension may potentially improve hemodynamic status when used carefully in the ED.
format	article
author	Abdullah Bakhsh Leena Alotaibi
author_facet	Abdullah Bakhsh Leena Alotaibi
author_sort	Abdullah Bakhsh
title	Push-Dose Pressors During Peri-intubation Hypotension in the Emergency Department: A Case Series
title_short	Push-Dose Pressors During Peri-intubation Hypotension in the Emergency Department: A Case Series
title_full	Push-Dose Pressors During Peri-intubation Hypotension in the Emergency Department: A Case Series
title_fullStr	Push-Dose Pressors During Peri-intubation Hypotension in the Emergency Department: A Case Series
title_full_unstemmed	Push-Dose Pressors During Peri-intubation Hypotension in the Emergency Department: A Case Series
title_sort	push-dose pressors during peri-intubation hypotension in the emergency department: a case series
publisher	eScholarship Publishing, University of California
publishDate	2021
url	https://doaj.org/article/380e8fa0cd8142479d2a3f5b30e3f914
work_keys_str_mv	AT abdullahbakhsh pushdosepressorsduringperiintubationhypotensionintheemergencydepartmentacaseseries AT leenaalotaibi pushdosepressorsduringperiintubationhypotensionintheemergencydepartmentacaseseries
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Push-Dose Pressors During Peri-intubation Hypotension in the Emergency Department: A Case Series

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