Austin Health

Title
Selecting a vasopressor drug for vasoplegic shock after adult cardiac surgery: a systematic literature review.
Publication Date
2007-02-01
Author(s)
Egi, Moritoki
Bellomo, Rinaldo
Langenberg, Christoph
Haase, Michael
Haase, Anja
Doolan, Laurie
Matalanis, George
Seevenayagam, Siven
Buxton, Brian F
Type of document
Journal Article
DOI
10.1016/j.athoracsur.2006.08.041
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.
Link
Citation
The Annals of Thoracic Surgery; 83(2): 715-23
Jornal Title
Annals of Thoracic Surgery

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