Intensive Care Pearls

Daily high-yield PICU & NICU bedside pearls curated by Dr. Ajay Kumar Saini.

Bedside Pearls & Clinical Concepts (1)

High-yield clinical guidelines, drug dosing algorithms, and hemodynamics pearls.

💎 Updated Daily

💎 Hemodynamics / Shock

Pearl #1: Inotropic Support in Septic Shock

✍️ Author: Dr. Ajay Kumar Saini

• Cold Shock: Adrenaline (0.05-0.3 mcg/kg/min) is first-line for low cardiac output and high SVR.
• Warm Shock: Noradrenaline (0.05-0.5 mcg/kg/min) is first-line for vasodilation.
• Target ScvO2 >= 70% and normal capillary refill time.