What is the recommended epinephrine infusion dose during adult ACLS?

The recommended epinephrine infusion dose during adult Advanced Cardiovascular Life Support (ACLS) is 2-10 mcg/kg/min. This dosing range reflects the need for effective vasoconstriction and improved coronary and cerebral perfusion during cardiac arrest or severe bradycardia situations. It allows for potent cardiovascular effects while balancing safety and efficacy for resuscitation.

Using epinephrine strategically in this dose range helps to enhance the likelihood of successful defibrillation and improves overall outcomes during critical care scenarios. Maintaining the infusion within this specified range ensures that the therapeutic benefits are maximized while minimizing the risk of potential adverse effects associated with higher doses.

In a resuscitation context, the higher end of the infusion rate may be especially crucial when rapid intervention is necessary to stimulate cardiovascular function and stabilize the patient, particularly when dealing with shockable and non-shockable rhythms during cardiac arrest.