Vasopressor Therapy Article Swipe
Jean‐Louis Vincent
,
Filippo Annoni
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3390/jcm13237372
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3390/jcm13237372
Vasopressor therapy represents a key part of intensive care patient management, used to increase and maintain vascular tone and thus adequate tissue perfusion in patients with shock. Norepinephrine is the preferred first-line agent because of its reliable vasoconstrictor effects, with minimal impact on heart rate, and its mild inotropic effects, helping to maintain cardiac output. Whichever vasopressor is used, its effects on blood flow must be considered and excessive vasoconstriction avoided. Other vasoactive agents include vasopressin, which may be considered in vasodilatory states, and angiotensin II, which may be beneficial in patients with high renin levels, although more data are required to confirm this. Dobutamine should be considered, along with continued fluid administration, to help maintain adequate tissue perfusion in patients with reduced oxygen delivery. In this narrative review, we consider the different vasopressor agents, focusing on the importance of tailoring therapy to the individual patient and their hemodynamic response.
Related Topics
Concepts
Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.3390/jcm13237372
- https://www.mdpi.com/2077-0383/13/23/7372/pdf?version=1733234522
- OA Status
- gold
- Cited By
- 6
- References
- 54
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4404958672
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4404958672Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/jcm13237372Digital Object Identifier
- Title
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Vasopressor TherapyWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-12-03Full publication date if available
- Authors
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Jean‐Louis Vincent, Filippo AnnoniList of authors in order
- Landing page
-
https://doi.org/10.3390/jcm13237372Publisher landing page
- PDF URL
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https://www.mdpi.com/2077-0383/13/23/7372/pdf?version=1733234522Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
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https://www.mdpi.com/2077-0383/13/23/7372/pdf?version=1733234522Direct OA link when available
- Concepts
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Medicine, Dobutamine, Vasopressin, Vasoconstrictor Agents, Norepinephrine, Inotrope, Shock (circulatory), Vasoconstriction, Perfusion, Vasodilation, Anesthesia, Cardiology, Hemodynamics, Intensive care medicine, Internal medicine, DopamineTop concepts (fields/topics) attached by OpenAlex
- Cited by
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6Total citation count in OpenAlex
- Citations by year (recent)
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2025: 6Per-year citation counts (last 5 years)
- References (count)
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54Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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