Combined use of phenoxybenzamine and dopamine for low cardiac output syndrome in children at withdrawal from cardiopulmonary bypass.
AUTOR(ES)
Kawamura, M
RESUMO
The combined use of phenoxybenzamine and dopamine was applied in infants and children when it was difficult to come off cardiopulmonary bypass for low cardiac output. The rationale of this method is to prevent the alpha-adrenergic action of dopamine by phenoxybenzamine and to encourage the beta-adrenergic and direct specific action of dopamine. Dopamine was used in dosage of 10 to 30 micrograms/kg per min after the additional administration of a half of the initial dosage of phenoxybenzamine; this was infused by drip always in a dosage of 0.5 to 1.0 mg/kg during the first half of cardiopulmonary bypass. It was possible to come off cardiopulmonary bypass with a stable haemodynamic state (mean arterial pressure more than 60 mmHg and total peripheral vascular resistance less than 2000 bynes s cm-5) and a good urinary output.
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=482297Documentos Relacionados
- A low priming volume oxygenator for bloodless priming in cardiopulmonary bypass.
- Comparison of cephalothin and ceforanide prophylaxis in cardiac surgery with cardiopulmonary bypass.
- Significance of changes in cerebral electrical activity at onset of cardiopulmonary bypass.
- Haemodialysis and haemofiltration on cardiopulmonary bypass.
- Intraocular pressure during cardiopulmonary bypass.
