REGULAR CONTENT
Final ID
602
Type
Educational Exhibit-Poster Only
Authors
K Kansagra1, Z Zhang1, C Lam1, G Vatakencherry1
Institutions
1Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA
Purpose
1. Review the major classes of hemodynamic drugs and their physiologic effects. 2. Compare and contrast these physiologic effects to better understand which specific drug is better suited in various cases of shock. 3.Review the major trials evaluating various hemodynamic drugs to create an implementable algorithm for hemodynamic drug therapy.
Materials & Methods
As the role of the interventional radiologist (IR) continues to expand, so will their involvement in patient care. Furthermore, with the development of the new IR/DR residency and the emphasis placed on obtaining critical care training, understanding the various hemodynamic drugs is integral for any interventional radiologist. Having a foundational familiarity with this class of drugs can better position an IR to safely and comprehensively manage their critically ill patients.
Results
We will present the major hemodynamic drugs and their effects using tables. This pictorial display will not only show the effects of each drug but also allow visual comparison with other similar drugs (adrenergic vs inotropic agents). Furthermore, the latest literature (surviving sepsis guidelines, VASST Study, SOAP II Trial, etc.) will be presented to provide an evidence based approach to picking the various available agents. We will also present categories of shock (cardiogenic, distributive, obstructive, and hypovolemic) in table format in order to outline their unique hemodynamic characteristics. This will allow the reader to match the hemodynamic effects of the various drugs to the hemodynamic characteristics of the various types of shock. Lastly, a decision flow chart will be created that IRs can potentially utilize to help guide their decision making in terms of initial therapy.
Conclusions
As IRs are taking on sicker patients, knowledge of the intricacies of critical care is becoming more crucial to ensure patient safety before, during, and after interventions. By knowing the different hemodynamic drugs available and their effects and appropriate use, the IR can continue to play an active role in patient care at all levels.
Final ID
602
Type
Educational Exhibit-Poster Only
Authors
K Kansagra1, Z Zhang1, C Lam1, G Vatakencherry1
Institutions
1Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA
Purpose
1. Review the major classes of hemodynamic drugs and their physiologic effects. 2. Compare and contrast these physiologic effects to better understand which specific drug is better suited in various cases of shock. 3.Review the major trials evaluating various hemodynamic drugs to create an implementable algorithm for hemodynamic drug therapy.
Materials & Methods
As the role of the interventional radiologist (IR) continues to expand, so will their involvement in patient care. Furthermore, with the development of the new IR/DR residency and the emphasis placed on obtaining critical care training, understanding the various hemodynamic drugs is integral for any interventional radiologist. Having a foundational familiarity with this class of drugs can better position an IR to safely and comprehensively manage their critically ill patients.
Results
We will present the major hemodynamic drugs and their effects using tables. This pictorial display will not only show the effects of each drug but also allow visual comparison with other similar drugs (adrenergic vs inotropic agents). Furthermore, the latest literature (surviving sepsis guidelines, VASST Study, SOAP II Trial, etc.) will be presented to provide an evidence based approach to picking the various available agents. We will also present categories of shock (cardiogenic, distributive, obstructive, and hypovolemic) in table format in order to outline their unique hemodynamic characteristics. This will allow the reader to match the hemodynamic effects of the various drugs to the hemodynamic characteristics of the various types of shock. Lastly, a decision flow chart will be created that IRs can potentially utilize to help guide their decision making in terms of initial therapy.
Conclusions
As IRs are taking on sicker patients, knowledge of the intricacies of critical care is becoming more crucial to ensure patient safety before, during, and after interventions. By knowing the different hemodynamic drugs available and their effects and appropriate use, the IR can continue to play an active role in patient care at all levels.