Help With Coming Off CPB: Deciding what inotropes to use
نویسنده
چکیده
منابع مشابه
Post hoc analysis of the glutamics–trial: intravenous glutamate infusion and use of inotropic drugs after cabg
BACKGROUND Intravenous glutamate reduced the risk of developing severe circulatory failure after isolated coronary artery bypass graft surgery (CABG) for acute coronary syndrome (ACS) in a double-blind randomised clinical trial (GLUTAMICS-ClinicalTrials.gov Identifier: NCT00489827 ). Here our aim was to study if glutamate was associated with reduced the use of inotropes. METHODS Post-hoc anal...
متن کاملWhen to Start and Stop the Inotropic Drugs in Cardiac Surgery?
All cardiac anesthesiologist are familiar with inotropes and vasopressors, as patients undergoing cardiac surgery frequently require administration of these drugs during the perioperative period. Surgery of the heart can now be conducted without cardioplegia and cardiopulmonary bypass (CPB), and even percutaneously (e.g. transcatheter aortic valve implantation-TAVI), patients have by definition...
متن کاملA metabolic protective strategy could improve long-term survival in patients with LV-dysfunction undergoing CABG.
OBJECTIVE Adverse outcome after CABG is closely related to postoperative heart failure precipitated by ischemia and myocardial infarction. Restrictive use of inotropes is therefore desirable. Patients with preoperative left ventricular dysfunction are a high-risk group in this respect. To reduce myocardial oxygen expenditure we evolved a metabolic strategy for perioperative care. DESIGN Obser...
متن کاملOptimal pacing strategies for coming off CPB
Optimal pacing strategies employed after CPB enhance ventricular function with improvements in cardiac output and tissue perfusion. Pacing is optimized for each patient by taking into consideration the underlying electrophysiological abnormalities, as well as co-existing structural cardiac diseases. The primary objective of rhythm stability and improved cardiac function in the post-CPB period i...
متن کاملFrench multicentre survey on the use of inotropes after cardiac surgery
Results from a French multicentre survey on the use of inotropes after cardiac surgery are presented. Consideration of these findings, which strictly apply only to France, highlights the importance of developing monitoring strategies to help in decision making regarding therapy with inotropes in this context.
متن کامل