Evidence · Research paper
The Perspective of the Intensivist on Inotropes and Postoperative Care Following Pediatric Heart Surgery: An International Survey and Systematic Review of the Literature.
- Cardiovascular
- Congenital heart disease
- Medical
- Nursing
- Shock
This paper is from 2018, more than five years ago. Newer evidence may have been published since.
Summary
An international survey of Pediatric Cardiac Intensive Care Society members combined with a systematic review describing practice variation in inotrope use after congenital heart surgery. It reports which agents are routinely used perioperatively, how low cardiac output syndrome is monitored (lactate, examination, mixed venous saturation, echocardiography, NIRS), and how therapy is escalated. The accompanying literature review found limited evidence supporting benefit of inotropes, despite near-universal milrinone use. Relevant to PICU and cardiac ICU teams managing postoperative haemodynamics.
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- Licence:
- Open (Creative Commons)
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