I'm doing some continuing ed stuff and I came across an interesting metanalysis of norepi vs dopamine in treating septic shock patients.

The thing that surprised me was that the "leave them dead levophed" had a lower overall mortality rate than dopamine (granted, the patients have probably been turned into limbless meatsacks).


On a similar note, how do you guys feel about using a phenylephrine gtt for septic shock to increase preload/svr in an ICU setting? When do concerns about splanchic flow etc come into play?

link to the pdf for those interested