Efficacy of dopamine, dobutamine, and epinephrine during emergence from cardiopulmonary bypass in man.

Abstract:

:Hemodynamic effects of dobutamine and dopamine (both 5, 10, 15 microgram/kg/min) and epinephrine (0.04 microgram/kg/min) were studied immediately following cessation of cardiopulmonary bypass in 34 patients with preoperative evidence of left ventricular dysfunction. Significant increases in mean cardiac index were seen with dobutamine (15, 25, and 26% respectively), and epinephrine (30%). The largest increases occurred with dopamine (44, 53, and 64 percent respectively). Responses varied from patient to patient, however. Seven patients developed marked output increases without concomitant increases in arterial pressure, whereas seven others showed "satisfying" increases in arterial pressure without appreciable output increases. Heart rate increases were small and few arrhythmias were noted. We conclude that dopamine, epinephrine, and dobutamine all are effective inotropic agents during the immediate post-bypass period, with variations discussed in detail. None possess the disturbing chronotropic and arrhythmogenic effects of isoproterenol (previously studied). Efficacy of administration of inotropic drugs seems best assessed by serial output measurements during this period.

journal_name

Circulation

journal_title

Circulation

authors

Steen PA,Tinker JH,Pluth JR,Barnh;rst DA,Tarhan S

doi

10.1161/01.cir.57.2.378

subject

Has Abstract

pub_date

1978-02-01 00:00:00

pages

378-84

issue

2

eissn

0009-7322

issn

1524-4539

journal_volume

57

pub_type

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