two options:
[1] no bolus; drug accumulates over 4-8-?? hours; effect of drug is unclear; risk of delayed BP drop at 3 AM
[2] bolus; you can tell what drug is doing; risk destroying the BP but you're monitoring this closely
neither option is good but #2 makes more ICU-sense to me?? help.
#EMIMCC
[1] no bolus; drug accumulates over 4-8-?? hours; effect of drug is unclear; risk of delayed BP drop at 3 AM
[2] bolus; you can tell what drug is doing; risk destroying the BP but you're monitoring this closely
neither option is good but #2 makes more ICU-sense to me?? help.
#EMIMCC
Comments
if you're going to really do invasive, tailored hemodynamics, then drugs should be short-acting so you can actively titrate & tell what's working what what's not helping
throwing milrinone into the mix feels like adding voodoo into something that could be more scientific
The Milrinonites have often overstated its benefits