Approach to vasopressor medications in shock states

Vasopressors are medications that causes vasoconstriction; some of them have additional inotropic effect. By maintaining end-organ perfusion; the role of vasopressors remains critical to prevent irreversible organ injury and failure, and their use is usually accompanied by fluid resuscitation for adequate patient outcomes. Vasopressor agents are used clinically in the treatment of arterial hypotension in shock states. Shock is best defined as inadequate blood flow to meet the metabolic needs of the tissues. The most common reasons for shock are the cardiac output is low relative to the global demand, despite increased O2 extraction by the tissues; or perfusion pressure is inadequate such that blood flow distribution to metabolically active tissues is inadequate, despite an otherwise adequate cardiac output.

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An insight on critical care in obstetrics

Pregnancy-related complications constitute a significant part in critical care, in this article Dr Khaled provides an insight on critical care in obstetrics. He highlights that the most common indications for ICU admission are postpartum hemorrhage, pregnancy induced hypertension, and related disorders.

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New updates in the management of gout

Dr Khaled discusses the advances in the diagnosis and management of gout; the novel urate-lowering therapies, new imaging modalities, and a deeper understanding of the pathogenesis of gout raise the possibility of better gout care and improved patient outcomes and adequate lowering of serum uric acid with minimal effects on renal tissues.

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