Levophed Assisted Transfusion
There is an internal clock that begins ticking when I see a patient with a MAP below 65. That ticking gets even louder when the patient has a known head bleed. As clinicians we have several ways to raise someones mean arterial pressure:
Fill The Tank: Fluids and blood products.
Manipulate The Pump Dynamics: Inotropes and chronotropes .
Change The Size or Compliance of The Container: Vasopressors and regional occlusion (REBOA).