Your 76 yr old patient is now two days post her laparotomy for ovarian cancer. She looks well, is starting to eat and keen to get up to the shower as well as have all the “annoying lines and tubes removed from my arms!”.

Unfortunately she is still on 3ml/hr of a metaraminol infusion and everytime the nurse tries to wean it off her BP drops to 70/45….. Is there anything you can do?

Hi everyone,

This week Rheily and I discuss the pharmacology of oral midodrine a alpha adrenergic agonist useful as an oral systemic vasoconstrictor. Join us as we discuss the ins and outs of using oral midodrine – please leave us a comment if you have some experience or tips to share!

USEFUL LINKS

Australasian Anaesthesia 2019 (Blue Book) Article – go to page 101