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Identifiers

doi
10.1111/aas.13089

Scandinavian SSAI clinical practice guideline on choice of inotropic agent for patients with acute circulatory failure

Flag for USA Guidelines in PubMed Central on February 25th 2018
Acta Anaesthesiologica Scandinavica
Background Adult critically ill patients often suffer from acute circulatory failure and those with low cardiac output may be treated with inotropic agents. The aim of this Scandinavian Society of Anaesthesiology and Intensive Care Medicine guideline was to present patient‐important treatment recommendations on this topic. Methods This guideline was developed according to GRADE. We assessed the following subpopulations of patients with shock: (1) shock in general, (2) septic shock, (3) cardiogenic shock, (4) hypovolemic shock, (5) shock after cardiac surgery, and (6) other types of shock, including vasodilatory shock. We assessed patient‐important outcome measures, including mortality and serious adverse reactions. Results For all patients, we suggest against the routine use of any inotropic agent, including dobutamine, as compared to placebo/no treatment (very low quality of evidence). For patients with shock in general, and in those with septic and other types of shock, we suggest using dobutamine ra...

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Cited by 10 other policy documents (8 of them are from other policy sources)
 

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