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@SocietyOfCCC: 🎙️ Coming Friday! SoCCC Pre-Rounds — Ep. 12
Vasoactive Medications in the CICU
Picking a pressor in cardiogenic shock isn't just algorithm-following — it's pharmacology, evidence, and pattern recognition working together at the bedside.
In this episode, Dr. Anthony Carnicelli and
@ElliottMillerMD break down the real-world decision-making behind vasopressors and inotropes in the CICU: norepinephrine, dopamine, epinephrine, vasopressin, phenylephrine, dobutamine, and milrinone.
They dig into:
🔹 A stepwise framework for choosing the right agent
🔹 What SOAP II and DOREMI actually tell us (and don't)
🔹 Tricky scenarios: LVOT obstruction, severe AS, pulm HTN, arrhythmogenic shock
🔹 When escalating pressor needs mean it's time to call the shock team
💬 "Vasoactive medication management is a bit more of an art than it is a science. So experience goes a long way." — Dr. Anthony Carnicelli
Whether you're pre-rounding before sunrise or managing a crashing patient overnight, this one's built for immediate bedside application.
👉 Listen July 3 at 5 PM ET — join the SoCCC community:
Made possible by unrestricted support from
@zoll_cms
@CCCEnthusiasts @JasonKatzMD @jameshorowitzmd @AnnGageMD
#CardiogenicShock #CICU #MedEd #CardiologyFellows #CriticalCare #FOAMed #Cardiology #IMResidency #MedTwitter