
Martha Kinsley
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Jun 8, 2026
Epinephrine in Pediatric Cardiac Arrest: It's Complicated
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3:10Cameron DesfoyenHOST
So that then begs the question of what are the downsides of epi, because obviously more is not always better.

Martha KinsleyGUEST
There are some animal studies and large animal models that suggest impaired cerebral blood flow at the microcirculatory level, even though at the macrocirculatory level, there's evidence that it in fact improves cerebral blood flow.

Martha KinsleyGUEST
Additionally, there's arrhythmia risk with any high dose of catecholamines and then diastolic dysfunction as well.

Martha KinsleyGUEST
There's some adult retrospective data that shows that higher epifrequency measured in milligrams per minute was associated with lower rates of survival with an odds ratio of 0.05, as well as lower odds of favorable neurologic outcome at discharge with an odds ratio of 0.02.
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6:46Cameron DesfoyenHOST
I mean, what is the kind of background of more frequent epidosing at CHOP, and why is it that you guys think that might be a good idea?