Cardiogenic Shock: Clinical Insights with Nicole Kupchik, MN, RN, CCNS, CCRN-CMC, PCCN

In this special episode, Dr. Richard Wilson, DNAP, CRNA sits down with critical care educator Nicole Kupchik to unpack practical bedside considerations for managing cardiogenic shock in ICU patients. From vasopressors to mechanical support, this discussion offers real-world insight into how seasoned clinicians think through this complex condition.

In this episode, we discuss:

Early signs of cardiogenic shock and why timing matters
Pros and limitations of Impella, balloon pump, and VA ECMO
Key hemodynamic markers like CPO and PAPI
Clinical considerations when using norepinephrine, milrinone, dobutamine, and more
The balancing act of fluid management in left vs. right ventricular failure

Recorded live at NTI 2025 in New Orleans—expect a more candid format and a touch of background conference buzz.

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