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Title: Selecting a vasopressor drug for vasoplegic shock after adult cardiac surgery: a systematic literature review.
Authors: Egi, Moritoki;Bellomo, Rinaldo;Langenberg, Christoph;Haase, Michael;Haase, Anja;Doolan, Laurie;Matalanis, George;Seevenayagam, Siven;Buxton, Brian F
Affiliation: Department of Intensive Care and Medicine, University of Melbourne, Austin Hospital, Heidelberg Victoria, Australia
Issue Date: 1-Feb-2007
Citation: The Annals of Thoracic Surgery; 83(2): 715-23
Abstract: The choice of vasopressors to treat vasodilatory shock after cardiac surgery is a matter of controversy. We have systematically reviewed the literature and found that the data are insufficient to guide choice of agent. However, we found sufficient evidence that when a target blood pressure can not be achieved with a single agent, addition of another is more likely to help achieve the blood pressure target. We also found that there is no evidence that vasopressors induce organ ischemia. Finally, the lack of high quality data indicate that large multicenter trials are needed in this field.
Internal ID Number: 17258030
DOI: 10.1016/j.athoracsur.2006.08.041
Type: Journal Article
Subjects: Cardiopulmonary Bypass.adverse effects
Shock.drug therapy.etiology
Vasoconstrictor Agents.therapeutic use
Appears in Collections:Journal articles

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