In septic shock patients requiring multiple vasopressors, hemoglobin, total fluids at 48 and 96 hours have significant effect on outcome. Dobutamine or dopamine may be the preferred second vasopressor when norepinephrine alone is inadequate. A prospective randomized trial examining the choice of second vasopressor is needed….link here
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prof prem raj pushpakaran writes — Ulf Svante von Euler, the great Swedish physiologist who discovered the neurotransmitter, norepinephrine, was born on February 7th 1905!!!