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WHY I (ALMOST) NEVER USE DOPAMINE 

CriticalCareNow
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WHY I (ALMOST) NEVER USE DOPAMINE // Dopamine has only one or two indications because there are so many more options available with fewer side-effects. Nevertheless, we must talk about its use in critical care and resuscitation.
Watch this video to better understand the role of dopamine in Emergency Medicine and Critical Care.
Studies to review:
1. pubmed.ncbi.nlm.nih.gov/20200...
2. pubmed.ncbi.nlm.nih.gov/19851...
3. pubmed.ncbi.nlm.nih.gov/22036... (meta-analysis)

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29 июн 2020

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Комментарии : 31   
@Laringoskop
@Laringoskop 4 года назад
I had this so many times: starting dopamine and extrasystoles starts firing as hell.
@CriticalCareNow
@CriticalCareNow 4 года назад
Yes! Agreed.
@denisserojas1861
@denisserojas1861 4 года назад
I love your videos, please keep doing them! Saving my EM residence in Costa Rica one video at a time
@CriticalCareNow
@CriticalCareNow 4 года назад
Thank you. Kind of you to say.
@cassandramorales5877
@cassandramorales5877 3 года назад
New Grad ICU nurse here.. this is the first video I have seen from your channel and that’s all I needed to subscribe!
@CriticalCareNow
@CriticalCareNow 3 года назад
Awwww....thanks and welcome to the channel
@solodeking
@solodeking 10 месяцев назад
Hey Haney! Thanks for this. This is a kind of confirmation bias for me ...😁🤣😂 as I also hate dopamine for all the same reasons you have stated. The dose related effects of dopamine is so variable and unpredictable. In Symptomatic Bradycardia, where TCP is not improving my patient, I would even consider Adrenaline (Epinephrine) ahead of Dopamine for my chemical pacing.
@CriticalCareNow
@CriticalCareNow 10 месяцев назад
Yes! Thank you
@Alexsjusa
@Alexsjusa 4 года назад
Great video! Thanks so much for explaining that!
@CriticalCareNow
@CriticalCareNow 4 года назад
Thank you!
@alexnrusty
@alexnrusty 4 года назад
Thank you for the great videos!
@CriticalCareNow
@CriticalCareNow 4 года назад
Thank you, I really appreciate that
@rafasdoc
@rafasdoc 4 года назад
Until someone finds the pacemaker, dopamine saves
@CriticalCareNow
@CriticalCareNow 4 года назад
I’ve never found that to be the case but I appreciate your comment
@BoSox9588
@BoSox9588 4 года назад
Great video! Just subscribed :)
@CriticalCareNow
@CriticalCareNow 4 года назад
Thanks, I appreciate you. I miss you man come home soon
@vicenteschild5561
@vicenteschild5561 4 года назад
Hi Haney! Do you really prefer dopamine over epinephrine for symptomatic bradycardia? I've never used dopamine😅
@CriticalCareNow
@CriticalCareNow 4 года назад
I might try epi first but if it doesn’t work I’d go with dopamine. Thanks for your question
@SeeCipGoAgain
@SeeCipGoAgain 4 года назад
Can you do a video on Isuprel? I used it a while ago for off-label TdP.
@CriticalCareNow
@CriticalCareNow 4 года назад
Alright! I’ll add it to the list. Thanks
@CriticalCareNow
@CriticalCareNow 4 года назад
Great to see you on RU-vid Btw
@oxfd611
@oxfd611 4 года назад
Is Dopamine still the safer option for prehospital refractory bradycardia non-traumatic shock?
@CriticalCareNow
@CriticalCareNow 4 года назад
That would be the only indication.
@rileyayo7682
@rileyayo7682 4 года назад
Embarrassed to ask, but would dopamine work for 3rd degree blocks?
@CriticalCareNow
@CriticalCareNow 4 года назад
It would work as a vasopressor, but you run the risk of arrhythmias
@sinchiconan
@sinchiconan 7 месяцев назад
No Dopamine for Cardiogenic shock?
@CriticalCareNow
@CriticalCareNow 7 месяцев назад
Especially for cardiogenic. Increases arrhythmias
@mElsaif
@mElsaif 4 года назад
I’m only writing this comment because you told me so.
@CriticalCareNow
@CriticalCareNow 4 года назад
Thank you! I promise I won’t ask you for a million dollars 🤣😂🤣
@Rafriasduc
@Rafriasduc 4 года назад
Dopamine dislike this video.... Jajajajaja in the nail... Team NE
@CriticalCareNow
@CriticalCareNow 4 года назад
Yes, I just like it too. Thanks for the current
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