What is the maximum dose of norepinephrine?

[@nickhelvey5532]

I met a Boston flight medic at a critical care, conference, and he said he wants transported a patient that was on 500 mcg a minute of norepinephrine. Also, all the other vasopressors, too like vasopressin, epi, dobutamine, methylene blue.

[@emmanuelbetancourt4831]

Unfortunately “Amina hasta que la guardia termina” but I think should be consistent with the predictors of ICU mortality and clinical response. Saludos desde Xalapa, México 🤝

[@eddyjoemd]

¡Saludos!

[@pitigenskillz]

Is there a level at which we should add a second, third pressor before maximizing norepi?

[@eddyjoemd]

Yes there is but it is highly individualized. I cover all these nuances in my book backed by the evidence 👍🏼