πŸ’Š Vasopressors, Inotropes & Shock Management

SSC 2021 ESICM 2019 ISCCM 2020
ShockHaemodynamicsDrug Doses Last updated: Jun 2025
πŸ“… Last reviewed July 2026 Β· Next review January 2027 Β· Compiled by Dr. Anmol Srivastava Anaesthesia, Emergency Medicine & Critical Care Medicine Β· Reviewed by Dr. Tanya Chawla Anaesthesia & Critical Care

Shock Classification

TypeCO/CISVRPCWPScvOβ‚‚Common Causes
Distributive↑↑↓↓Normal/↓↑ (maldistribution)Sepsis, anaphylaxis, neurogenic, adrenal crisis, SIRS
Cardiogenic↓↓↑↑↑↑↓↓STEMI, acute cardiomyopathy, myocarditis, severe valvular disease
Hypovolaemic↓↑↑↓↓↓Haemorrhage, GI losses, burns, third-spacing
Obstructive↓↑↑ (tamponade) / ↓ (PE)↓Massive PE, cardiac tamponade, tension pneumothorax
Always Exclude Obstructive Causes First

Tension pneumothorax and cardiac tamponade are immediately reversible if treated early. FAST echo and clinical examination are essential before starting vasopressors in undifferentiated shock.

Adrenoreceptor Pharmacology

ReceptorLocationEffect on ActivationHaemodynamic Result
α₁Vascular smooth muscle, skin, splanchnicVasoconstriction↑ SVR, ↑ MAP, ↓ tissue perfusion at high doses
β₁Heart (SA node, AV node, myocardium)↑ Heart rate, ↑ contractility, ↑ conduction↑ CO, ↑ HR, ↑ myocardial Oβ‚‚ demand
Ξ²β‚‚Vascular smooth muscle, bronchiVasodilation, bronchodilation↓ SVR, bronchodilation, ↑ CO (mild)
DA₁ / DAβ‚‚Renal, splanchnic, coronaryVasodilation (dose-dependent)↑ renal/splanchnic blood flow at low doses (controversial)
V₁ (AVP)Vascular smooth muscleVasoconstriction (non-catecholamine)↑ SVR without direct cardiac effect; useful in catecholamine-resistant vasoplegia

Drug Reference β€” Doses & Effects

DrugDose RangeMain ReceptorsPrimary EffectKey Side EffectsIndication
Noradrenaline (NE)0.01–3 mcg/kg/minα₁+++ β₁+↑↑ SVR, mild ↑ HRPeripheral ischaemia (high doses), reflex bradycardiaFirst-line: septic/distributive shock
Vasopressin0.01–0.04 U/min (fixed)V₁+++↑↑ SVR, no cardiac effectMesenteric ischaemia, hyponatraemia, skin necrosisAdd-on to NE in refractory septic shock; catecholamine-sparing
Adrenaline (Epinephrine)0.01–1 mcg/kg/minα₁++ β₁+++ Ξ²β‚‚++↑↑ CO + ↑ SVRTachyarrhythmia, ↑ lactate (Ξ²β‚‚ mediated), splanchnic vasoconstrictionAnaphylaxis (IM/IV); refractory cardiogenic/septic shock
Dobutamine2.5–20 mcg/kg/minβ₁+++ Ξ²β‚‚++↑↑ CO, ↓ SVR (inotropy)Tachyarrhythmia, hypotension, NOT for isolated vasoplegiaCardiogenic shock; septic cardiomyopathy (low CO, ↑ PCWP)
Phenylephrine0.5–5 mcg/kg/minα₁++++↑↑↑ SVR, reflex bradycardia (no ↑ HR)Reflex bradycardia, ↓ CO if ventricular dysfunctionDistributive shock with tachycardia; avoid in cardiogenic
Dopamine1–20 mcg/kg/minDA, β₁, α₁ (dose-dependent)Dose-dependent (inotropy at 5–10; pressor at >10)Tachyarrhythmia more than NE; arrhythmias commonNOT recommended as first-line (SOAP II trial)
Levosimendan0.05–0.2 mcg/kg/min (no loading in ICU)Ca²⁺ sensitiser + K_ATP opener↑ contractility WITHOUT ↑ Oβ‚‚ demand; vasodilationHypotension, tachycardia; long half-life (active metabolite 80h)Acute decompensated HF; post-cardiac surgery LV failure
Methylene Blue1–2 mg/kg IV over 20–60 min; repeat at 1 mg/kgInhibits NO synthase & guanylate cyclase↑ SVR in vasoplegic syndromeHaemolysis in G6PD deficiency; serotonin syndrome (with serotoninergic drugs)Refractory vasoplegic shock (post-cardiac surgery, anaphylaxis, sepsis)
Angiotensin II20–200 ng/kg/minAT₁ receptor↑ SVR via AT₁ receptor; catecholamine-sparingThromboembolism; ventricular hypertrophyCatecholamine-resistant vasodilatory shock (ATHOS-3 trial)

Septic Shock β€” Vasopressor Algorithm

Step-up approach β€” SSC 2021 / ISCCM 2020
  • Step 1: Noradrenaline β€” first-line; titrate to MAP β‰₯65 mmHg (Strong recommendation, 1B)
  • Step 2: NE dose >0.25 mcg/kg/min β†’ add Vasopressin 0.03 U/min (fixed rate); reduces NE requirement and may reduce arrhythmias
  • Step 3: Still refractory β†’ add Adrenaline (0.1–0.5 mcg/kg/min) OR consider Hydrocortisone 200 mg/day
  • Step 4: Evidence of low CO (cold peripheries, ScvOβ‚‚ <65%, elevated lactate despite adequate MAP) β†’ add Dobutamine 5–10 mcg/kg/min
  • Step 5 (Rescue): Consider Methylene Blue 1–2 mg/kg or Angiotensin II for catecholamine-refractory vasoplegia

MAP target: 65–70 mmHg for most patients. Target MAP 80–85 mmHg only in hypertensives with early AKI (SEPSISPAM trial) β€” no overall mortality benefit but reduced RRT requirement.

Cardiogenic Shock

Cardiogenic shock: ↓CO, ↑SVR, ↑PCWP, ↓ScvOβ‚‚. Primary goal is to restore CO and coronary perfusion.

ScenarioFirst ChoiceSecond ChoiceAvoid
Pure LV failure + hypotensionNoradrenaline (maintain MAP) + Dobutamine (↑CO)Levosimendan if on beta-blockersPhenylephrine alone (↑afterload)
RV failure (massive PE, PHT)Vasopressin (systemic pressor without ↑PVR) + inhaled NO/prostacyclinNoradrenaline (cautious)Dobutamine alone (↓SVR β†’ hypotension)
Cardiogenic + distributiveNoradrenaline + DobutamineAdrenaline (combined vasopressor + inotrope)Dopamine (more arrhythmias)

Mechanical Circulatory Support

  • IABP (Intra-aortic Balloon Pump): IABP-SHOCK II (2012) β€” no survival benefit in cardiogenic shock complicating MI. Still widely used for haemodynamic support pre-PCI.
  • Impella: Provides up to 3.5–5.5 L/min support; superior haemodynamic support to IABP. Benefit on mortality inconclusive.
  • VA-ECMO: For refractory cardiogenic shock β€” provides full cardiopulmonary support. Refer early to ECMO-capable centre.

Anaphylaxis

Adrenaline β€” the Only First-Line Drug in Anaphylaxis
  • Adrenaline 0.5 mg IM (1:1000 = 1 mg/ml) into anterolateral thigh β€” give IMMEDIATELY
  • Repeat every 5–15 min if no response (no ceiling)
  • IV adrenaline ONLY in ICU with monitoring: 50–100 mcg boluses IV or 0.05–0.5 mcg/kg/min infusion
  • Adjuncts (secondary β€” after adrenaline):
  • Hydrocortisone 200 mg IV (reduces biphasic reactions)
  • Chlorpheniramine 10 mg IV slow (antihistamine)
  • Salbutamol nebuliser 5 mg for bronchospasm
  • IV Fluids 1–2L crystalloid rapidly
  • Position: supine + legs elevated (unless respiratory distress)

Observe for minimum 6h after adrenaline for biphasic anaphylaxis. Discharge with adrenaline auto-injector (EpiPen) prescription and allergy referral.

Haemodynamic Monitoring in Shock

ToolWhat it MeasuresWhen to UseLimitations
Arterial LineBeat-to-beat MAP, PPV, waveformAll vasopressor-requiring patientsDamping; need regular zeroing
Central Venous CatheterCVP (unreliable), drug delivery, ScvOβ‚‚Vasopressor delivery, ScvOβ‚‚ monitoringCVP unreliable for preload assessment
Point-of-care Echo (POCUS)Cardiac function, volume status, IVC, pericardial effusionUndifferentiated shock, all ICU patientsOperator-dependent
PiCCO / LIDCOCardiac output, SVR, EVLWI, GEDVIComplex haemodynamic instability, mixed shockInvasive, calibration required
Pulmonary Artery Catheter (PAC)PCWP, PA pressures, CO, SvOβ‚‚Refractory mixed shock, severe PHTInvasive; no mortality benefit (PACMAN trial)

Clinical Pearls

  • Arterial line is mandatory once vasopressors are started β€” NIBP is unreliable in shock
  • Lactate, not MAP is the best marker of tissue perfusion β€” target lactate clearance
  • ScvOβ‚‚ <65% suggests mixed problem (inadequate CO) β€” add dobutamine or inotrope
  • Peripheral vasopressors: Acceptable for 6–12h in emergency situations (use antecubital or wrist with 2-cm catheter); inspect site every 30 min for extravasation; noradrenaline 4–8 mg in 50 ml (concentration 80–160 mcg/ml)
  • Vasopressor weaning: Wean noradrenaline last; taper gradually (10–20% per hour)
  • Monitor peripheries: Mottling score, cap refill, extremity temperature at high vasopressor doses
  • Serotonin syndrome + Methylene Blue: Never give methylene blue to patients on SSRIs, SNRIs, MAOIs, fentanyl, tramadol β€” risk of fatal serotonin syndrome

References

  1. De Backer D, Biston P, Devriendt J, et al. Comparison of Dopamine and Norepinephrine in the Treatment of Shock (SOAP II). N Engl J Med. 2010;362(9):779–789.
  2. Russell JA, Walley KR, Singer J, et al. Vasopressin versus Norepinephrine Infusion in Patients with Septic Shock (VASST). N Engl J Med. 2008;358(9):877–887.
  3. Asfar P, Meziani F, Hamel JF, et al. High versus Low Blood-Pressure Target in Patients with Septic Shock (SEPSISPAM). N Engl J Med. 2014;370(17):1583–1593.
  4. Khanna A, English SW, Wang XS, et al. Angiotensin II for the Treatment of Vasodilatory Shock (ATHOS-3). N Engl J Med. 2017;377(5):419–430.
  5. Thiele H, Zeymer U, Neumann FJ, et al. Intraaortic Balloon Support for Myocardial Infarction with Cardiogenic Shock (IABP-SHOCK II). N Engl J Med. 2012;367(14):1287–1296.
  6. Evans L, Rhodes A, Alhazzani W, et al. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. Crit Care Med. 2021;49(11):e1063–e1143.
  7. Hollenberg SM. Vasoactive Drugs in Circulatory Shock. Am J Respir Crit Care Med. 2011;183(7):847–855.
  8. Panchal AR, Bartos JA, CabaΓ±as JG, et al. Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020;142(16_suppl_2):S366–S468.