Board Certification Review 2023Spotlight: Shock/MCS (OnDemand)-Cardiogenic Shock Management Q&A

Video Transcription

Video Summary

In this video, the speaker discusses shock and answers questions from the audience. The speaker begins by discussing a patient with high filling pressures and normal systemic vascular resistance (SVR), which indicates cardiogenic shock. They explain that the primary problem is low cardiac output and the patient requires inotropes. Another complex case involving right ventricular (RV) failure is also discussed, with the speaker explaining that the SVR is very high and the patient may require RV support devices. The speaker also discusses the use of pressors in shock, recommending norepinephrine based on randomized controlled trial data. They caution against using inotropic drugs like epinephrine, as it may worsen outcomes in cardiogenic shock. The speaker also mentions the use of milrinone and phenylephrine in certain cases and discusses the role of hemodynamic monitoring and steroids in shock management. The video concludes with a preview of the next session on mechanical circulatory support devices. No credits were mentioned in the video.

Keywords

shock

cardiogenic shock

systemic vascular resistance

inotropes

right ventricular failure