TY  - CHAP
M1  - Book, Section
TI  - Chapter 80. Hemodynamic Support of the Critically Ill Patient
A1  - Vincent, Jean-Louis
A2  - Longnecker, David E.
A2  - Brown, David L.
A2  - Newman, Mark F.
A2  - Zapol, Warren M.
PY  - 2012
T2  - Anesthesiology, 2e
AB  - Early  and  adequate  resuscitation  of  patients  with  acute  circulatory  failure  is  important  to  restore  the  balance  between  oxygen  needs  and  delivery.  Effective  resuscitation  can  result  in  improved  outcomes.Fluid  resuscitation  should  be  guided  by  repeated  fluid  challenges.If  fluid  administration  is  insufficient  to  restore  an  adequate  tissue  perfusion  pressure,  vasopressors  may  be  required;  norepinephrine  is  currently  considered  the  best  first-line  choice.Inotropes  or  vasodilator  drugs  may  be  needed  to  improve  myocardial  contractility  and  cardiac  output.  Dobutamine  remains  the  inotropic  agent  of  choice.Hemodynamic  support  should  be  titrated  to  the  individual  patient  according  to  global  parameters  of  hemodynamic  and  oxygenation  status,  supported  by  regional  parameters  when  available.  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/18
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=56653869
ER  -