Norepinephrine is good first line shock treatment


  • debacker study

  • dopamine had doubling of arrythmia and increased mortality in subgroup analysis

  • levo vs levo + vaso

  • no overall benefit

  • how did levo ends up first line
  • levo + dobutamine is equal to epi = no difference
  • levo vs epi = no difference, and epi can cause lactate elevation and tachycardia
  • levo vs vaso: no real difference 1

Footnotes

  1. CHEST Board Review Critical Care?