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Titlebook: Update 1991; Jean Louis Vincent (Clinical Director) Conference proceedings 1991 Springer-Verlag Berlin, Heidelberg 1991 Anesthesiologie.An

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Inappropriateness of “Inotropic” Support with Epinephrineis with some sadness that I still find epinephrine commonly infused into patients requiring so called “inotropic support”. Upon enquiry into the true reason for giving this therapy, I often find that the answer boils down to treatment of low blood pressure. There is often no evidence presented that
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Dobutamine Withdrawalstic/therapeutic intervention (e.g. catheterization followed by coronary revascularization, cardiac valve surgery), these agents are commonly needed to bring a patient through an acute non-surgically curable event (acute myocardial infarction or myocarditis, sepsis) or through a decompensation perio
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Oxygen Derived Parameters in Acute Heart Failurert, lung and circulation. Thus, any alteration in pulmonary gas exchange, any ventricular dysfunction or any circulatory alteration may induce cellular hypoxia secondary to a reduction in tissue oxygen delivery [1]. The onset of an inadequation between oxygen delivery and oxygen demand is now recogn
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Classification of Shock in the Intensive Care Unit Using Transesophageal Two-Dimensional Echocardiogt of the hemodynamic profile using a balloon-tipped floating pulmonary artery catheter usually provides information about the degree of circulatory impairment, which can be used to direct therapy [1–3]. If the hemodynamic variables are non-conclusive and measures taken accordingly do not reverse thi
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Cardiac Alterations in Septic Shock: Pathophysiology, Diagnosis, Prognostic, and Therapeutic Implica after initially successful resuscitation is mainly due to failure of multiple organ systems, septic shock can be rapidly fatal because of irreversible hypotension. It has been a matter of debate whether this hypotension is primarily caused by cardiac failure or not. Classically, the hemodynamic alt
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Vasopressor Therapy in Cardiopulmonary Resuscitationhe coronary perfusion pressure [2]. According to the current recommendations of the American Heart Association, epinephrine is recognized as being the drug of choice for resumption of spontaneous circulation in all forms of cardiac arrest [3].
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