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 - 2024/10/06 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=56653869 ER -