[Perioperative pharmacological circulatory support in daily clinical routine]. / Perioperative medikamentöse Kreislaufunterstützung in der täglichen Routine.
Anaesthesist
; 69(11): 781-792, 2020 11.
Article
em De
| MEDLINE
| ID: mdl-32572502
ABSTRACT
Perioperative phases of hypotension are associated with an increase in postoperative complications and organ damage. Whereas some years ago hemodynamic stabilization was primarily carried out by volume supplementation, in recent years the use and dosing of cardiovascular-active substances has significantly increased. But like intravascular volume therapy, also substances with a cardiovascular effect have therapeutic margins, and thus, potential side effects. This review article discusses indications for each cardiovascular-active agent, weighing up advantages and disadvantages. Special attention is paid to the question how to administrate them central venous catheter vs. peripheral indwelling venous cannula. The authors come to the conclusion that it is not a question of whether it is principally allowed to apply cardiovascular-active drugs via peripheral veins but more importantly, what should be taken into consideration if a peripheral venous access is used. This article provides concise recommendations.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cateterismo Venoso Central
/
Fármacos Cardiovasculares
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Cateteres Venosos Centrais
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Hipotensão
Tipo de estudo:
Guideline
Limite:
Humans
Idioma:
De
Revista:
Anaesthesist
Ano de publicação:
2020
Tipo de documento:
Article