The Saving Lives Podcast is a concise, evidence-based series focused on critical care medicine, hosted by Dr. Eddy Joe Gutierrez, a board-certified intensivist. Each episode delves into recent research and best practices pertinent to the management of critically ill patients.
The action is to define the physiological aim first: albumin only makes sense for persistent shock after adequate crystalloid or diuretic-resistant overload. Open this one for its clear 5% versus 20–25% comparison and its warning against correcting a number.
Unexpected desaturation within an hour of starting intravenous nicardipine or clevidipine should prompt an immediate medication review. These infusions can blunt hypoxic pulmonary vasoconstriction, worsen ventilation–perfusion mismatch, and should be stopped before respiratory support is escalated.
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