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💉 Vasoactive-Inotropic Score (VIS)

UseWhen to use: PICU/CICU shock trajectories and research-style intensity tracking.

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StrataHigher VIS = more intense support; outcome thresholds are cohort-specific.

LimitsWhen not to use: as the sole shock severity definition. · Pitfall: wrong vasopressin units (mU vs U). · Classic VIS omits phenylephrine/extended agents.

SourceGaies MG et al. Pediatr Crit Care Med 2010 (VIS)

Runs locally in your browser (no PHI uploaded). For licensed clinicians — not a substitute for clinical judgement.
Stored on this device for revisit reminders

This-shift next steps

After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.

Scene next step
📋SepsisOpen scene pack →
Related scores
Matching pathway
🧭sepsis_h1Open pathway →
Score + version; reference only — not a substitute for care · no HIS write

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Methodology · worked example, guidelines & full notes
Clinical takeaway

Weighted infusion sum.

When to use

When to use: PICU/CICU shock trajectories and research-style intensity tracking.

How it works

VIS = DA + DB + 100×Epi + 10×Mil + 10000×VP + 100×NE (specified units).

Key points

  • Weighted infusion sum.
  • Check units carefully.
  • Next: SCAI shock / lactate / CPO.

References

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

Dopamine (µg/kg/min)0
Dobutamine (µg/kg/min)0
Epinephrine (µg/kg/min)0
Milrinone (µg/kg/min)0
Vasopressin (U/kg/min)0.0003
Norepinephrine (µg/kg/min)0

→VIS3

  • Formula：DA+DB+100×Epi+10×Mil+10000×VP+100×NE
  • Band cue：Lower support band (context-dependent)
Verification & sources · governance
FAQ

Frequently asked questions

Does Vasoactive-Inotropic Score (VIS) upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is Vasoactive-Inotropic Score (VIS) calculated in practice? Can you show a worked example?
Inputs: Dopamine (µg/kg/min) 0, Dobutamine (µg/kg/min) 0, Epinephrine (µg/kg/min) 0, Milrinone (µg/kg/min) 0, Vasopressin (U/kg/min) 0.0003, Norepinephrine (µg/kg/min) 0 → Result: VIS 3（Formula: DA+DB+100×Epi+10×Mil+10000×VP+100×NE, Band cue: Lower support band (context-dependent)）
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