Poor Perfusion .. dopamine ?normal saline ?

[Aymen Eshene]

hi every one 

i want to ask about some practical point in managing hypotention . and here is the situations iam facing in every day practice :

- delayed perfusion:  ( septic chils or R.D ...etc) we dont wait to document hypotention in order to start therapy .. we give N/s then if no improvment we start iontrops 

so is it ok to manage and to start dopamine while the baby is still normotensive ???

- M.v babies on sedation Iv , we start dopamine to counter its effect even before documented delayed perfusion or hypotention 

so is it evidence based practice ? 

we dont have a protocol to follow , instead we adopt a managment plane in different setting from a personell (consultant) who got their training outside libya (UK, USA) .

 

so any advice ??

 

[Shabuj619]

Same problem we facing in our NICU. Mechanically ventilated has low CO . So how to manage it.

dr Kamrul 

Dhaka, Bangladesh