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Dobutamine - Critical Care Medications 

ICU Advantage
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Dobutamine (Dobutrex) - Inotropic agent. 🌎💻 www.icuadvantage.com
Is this lesson we take a look at a medication that is often found to be confused with other staple of critical care. Dobutamine is often misunderstood and less used than its look-alike sound-alike counterpart Dopamine. They are quite different medications, which I will discuss in this video here.
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✅ Shock: • Shock
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❗️❗️PLEASE NOTE: ICU Advantage medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your doctor or health care provider. The information is present here to give you a starting place to further look in to the proper treatments and recommendations for the care of your patient.
0:00 Intro
1:00 What is it? How does it work?
3:28 Dobutamine vs Dopamine
6:11 Side effects
6:50 Dosing
7:59 Uses in critical care
9:36 Wrap Up
#ICUAdvantage #Dobutamine #Medications

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23 июл 2024

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Комментарии : 67   
@davidmbeckmann
@davidmbeckmann 3 года назад
I consider dobutamine when septic patients will not lower their lactate. Stopped using it in chronic CHF, as there are studies showing short term benefit with increased long term mortality. I view it as whipping a horse pulling a heavy cart up a mountain. Probably better to lighten the load... also saw lots of old folks going into new atrial fibrillation ... excellent review and work! Cheers!
@ICUAdvantage
@ICUAdvantage 3 года назад
Thank you again! Yeah we use it quite a bit with sepsis. I also agree that, short of quality of life improvement in palliative situations, Dobutamine isn't a viable treatment for chronic HF. More acute management and/or bridge. Love the analogy btw!
@hulkgang8009
@hulkgang8009 Год назад
Saw the Afib right after starting the drip today
@pengseansem2505
@pengseansem2505 6 месяцев назад
Great lesson, with many thanks
@reb1175
@reb1175 3 года назад
Great video, our dosing in Aus is 500mg in 100mL 5% Dextrose. Interesting to see the differences in the US
@jacobtirk6438
@jacobtirk6438 Год назад
Thanks! I have a cardiac meds quiz coming up, and I just found your page. I plan on going into ICU out of nursing school. I cant wait!
@dominikbozoky2509
@dominikbozoky2509 3 года назад
Great video! We mostly use Dobutamin as an inotropic support weaning the patient from the cardiopulmonary bypass after heart surgery. Or we use a combination of Adrenalin + Enoximone.
@ICUAdvantage
@ICUAdvantage 3 года назад
Yes, we come across it quite often in CVICU, although I feel we get a lot of inotropic support from Epi as well. And another one! Enoximone. Seems like an alternative to Milrinone, although again I've never seen this one either.
@victorrivera8953
@victorrivera8953 3 года назад
Love binge watching these videos haha
@corinnehasal4995
@corinnehasal4995 3 года назад
Thank you for the video! It’s so difficult to find a good video on dobutamine.
@ICUAdvantage
@ICUAdvantage 3 года назад
You are very welcome! Glad to hear you liked it!
@markokrvavac9180
@markokrvavac9180 2 года назад
i start at 11.2021 at ICU for heart operations, its is so interesting, so much to learn, and i work like 10 years now this job...and i feel like beginner..like your videos, thanks mate :) greetings from germany :)
@ICUAdvantage
@ICUAdvantage 2 года назад
Very cool and congrats on the new position! Glad you enjoy the videos and hope they have helped with your transition. Best of luck to you.
@carlosr.9469
@carlosr.9469 3 года назад
the other day had a pt with a fixed milrinone and dobutamine rate, awaiting heart transplant. super helpful
@ICUAdvantage
@ICUAdvantage 3 года назад
Happy to hear you found this video helpful Carlos!
@Abigail-emery
@Abigail-emery 3 года назад
Transferring to CTICU from PCU so these videos could not have into my life at a better time, thank you eddie🙏🙏
@ICUAdvantage
@ICUAdvantage 3 года назад
Awesome!! Super excited for you. You are about to begin an exciting new journey. Happy you found the channel and best wishes!
@ellaxoxo15
@ellaxoxo15 Год назад
Hey I am also about to transfer to PCU, can you please share some tips and other drips and must know info for this unit! ty so much
@matthewshields5537
@matthewshields5537 2 года назад
Great Content!
@ICUAdvantage
@ICUAdvantage 2 года назад
Totally missed this comment! *facepalm* Thank you Matthew. Glad you liked it and thanks so much for the support!
@estebantspn5962
@estebantspn5962 3 года назад
PERFECT!!
@ICUAdvantage
@ICUAdvantage 3 года назад
Thank you!
@indrajeet1316
@indrajeet1316 2 года назад
Thank ICU advantage Love from India
@ICUAdvantage
@ICUAdvantage 2 года назад
Very cool! Thank you!
@lizadickson1499
@lizadickson1499 2 года назад
Great video
@ICUAdvantage
@ICUAdvantage 2 года назад
Glad you liked it!
@twominuteanaesthesia
@twominuteanaesthesia 2 месяца назад
Good content
@robertmwangi8046
@robertmwangi8046 3 года назад
Very useful
@ICUAdvantage
@ICUAdvantage 3 года назад
Glad to hear that
@ericpang4831
@ericpang4831 3 года назад
Great video! Could you please explain again how dopamine increases CVP and PAOP? I watched your video on dopamine and couldn't quite figure it out, so any help is much appreciated!
@ICUAdvantage
@ICUAdvantage 3 года назад
Great question. I could have connected the dots better. Think alpha-1 vasoconstriction. We are decreasing the size of the tank, so whats filling that tank (blood) has less place to go. Since the venous and arterial systems are all one connected system, a decrease in volume for the blood to take up (vasoconstriction) leads to greater pressure. Typically we are focused on the MAP, but this also plays out elsewhere in the body.
@boyunkim9409
@boyunkim9409 3 года назад
Thanks
@ICUAdvantage
@ICUAdvantage 3 года назад
Welcome
@jennlee443
@jennlee443 3 года назад
Great video! Used today on a patient in cardiogenic shock, EF 10%, he definitely needed it Lactic acid was 10.6. Good reviews that makes sense to me.
@ICUAdvantage
@ICUAdvantage 3 года назад
Happy to hear this! Yeah definitely sounds like your guy was needing some help. Hopefully that lactic starts coming down.
@rylandethan4949
@rylandethan4949 2 года назад
Sorry to be so offtopic but does someone know a tool to get back into an instagram account? I stupidly lost the login password. I appreciate any help you can give me.
@imrandavis4031
@imrandavis4031 2 года назад
@Ryland Ethan Instablaster :)
@rylandethan4949
@rylandethan4949 2 года назад
@Imran Davis thanks for your reply. I got to the site on google and Im trying it out now. Looks like it's gonna take quite some time so I will get back to you later with my results.
@rylandethan4949
@rylandethan4949 2 года назад
@Imran Davis It did the trick and I now got access to my account again. Im so happy! Thank you so much, you really help me out :D
@user-iw7sb9oq9n
@user-iw7sb9oq9n 3 года назад
Thank you a lot. Could you please make a video about norepinephrine? It seems to be first line medication in almost every type of shock.
@ICUAdvantage
@ICUAdvantage 3 года назад
Yup! Its on the todo list! :)
@laurenkromminga3043
@laurenkromminga3043 2 года назад
I appreciate all your videos. I am an auditory learner, and I put your videos on while I do chores around the house.
@ICUAdvantage
@ICUAdvantage 2 года назад
Nice!! A lot of them work good for that. Some though I def think the drawings help 😊
@chardonnayexpress
@chardonnayexpress 8 месяцев назад
Can you use dobutamine for complete heart block?
@JustAnotherTrader
@JustAnotherTrader 3 года назад
Dobutamine vs Milrinone would be helpful.
@ICUAdvantage
@ICUAdvantage 3 года назад
I do plan to cover Milrinone in a future lesson and will hit on that then! Thanks for the suggestion.
@JustAnotherTrader
@JustAnotherTrader 3 года назад
@@ICUAdvantage Thanks!
@AshwoodLy
@AshwoodLy 3 года назад
In my hospital, Dopamine needs a CVC line but okay to run through a PIV for 24hrs while waiting for CVC placement. However, it is not clear if Dobutamine needs a CVC access. Do you happen to know anything about whether Dobutamine needs CVC access for more than 24hrs usage?
@ICUAdvantage
@ICUAdvantage 3 года назад
Great question. We use PIV for Dobutamine. While it is more an inotrope than vasoactive, the isomer does have alpha-1 effects. I think the incidents of major injury from dobutamine extravasation are limited. Dopamine at my facility is more tolerable via PIV vs CVC when compared to other typical vasopressors, but again, for any of them, we will absolutely use a PIV if no other access is present and its needed. Of course quickly obtaining a central afterwords is important.
@mingwcrystalchan6583
@mingwcrystalchan6583 2 года назад
Why would you choose dobutamine over adrenaline if both have similar effect?
@rhirhi7260
@rhirhi7260 3 года назад
Great video!!! Can you do a video on the following: if a patient is on more than one Blood pressure drip or drip from heart rate how do you know which one to titrate first?
@Melanie3581
@Melanie3581 3 года назад
That is putting it altogether and that comes with time and experience with vasoactive drips.
@ICUAdvantage
@ICUAdvantage 3 года назад
I did cover some basic principals of this in the part 2 of the vasopressors video in the ICU drips series. (ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-mR6EMZYL9UM.html) That said, there are many factors, as Melanie eluded too, including but not limited to provider preference. I've truly seen it all ways from Sunday, so its almost always the first thing I inquire about with multiple drips. What is THEIR preference. Sometimes we shoot to just get one off. Other times, it's titrating multiple together. I wish I had a better answer than that, but it really helps to learn what each does and how they are different from each other and then apply that to what your patient needs or has going on.
@latestlatest4760
@latestlatest4760 3 года назад
If a septic patient is already on a Norepi and vasopressin drip and he is still having a low BP...would you think that the Dobutamine will be helpful? But how about its vasodilation effect? Thanks
@ICUAdvantage
@ICUAdvantage 3 года назад
Great question. We've seen a lot of benefit in using it with septic patients. It really helps to evaluate their EF/CO to determine who might benefit. I wouldn't be too worried about the vasodilatory effect, especially if they are going to be a responder to the inotrope as you will see more benefit to perfusion from increased output than you will from any decreased SVR from dobutamine, typically.
@latestlatest4760
@latestlatest4760 3 года назад
@@ICUAdvantage thanks!
@elcocoreyes
@elcocoreyes 3 года назад
👍👍
@ICUAdvantage
@ICUAdvantage 3 года назад
ty!
@bre97bj
@bre97bj 9 месяцев назад
where do i find the video notes? \
@ICUAdvantage
@ICUAdvantage 9 месяцев назад
Sorry for the confusion and that I missed this comment. YT doesn't make it clear to find. If you go to the main ICU Advantage RU-vid page, then look for the "Community" tab at the top. This is where the member posts are. Look for the most recent post for the link to the notes and the current password (changes each month).
@pranaliwaghmare3732
@pranaliwaghmare3732 3 года назад
Video is good but I can't understand due to language barrier please tell in simple English
@cristinavasta8014
@cristinavasta8014 2 года назад
Dopamine good
@jacobtirk6438
@jacobtirk6438 Год назад
Thanks! I have a cardiac meds quiz coming up, and I just found your page. I plan on going into ICU out of nursing school. I cant wait!
@ICUAdvantage
@ICUAdvantage Год назад
Thank you so much Jacob! Hope the med quiz went well and best of luck in getting to the ICU!
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