Tend to use, dobutamine still. Did see a cardiologist in Leeds use
dobutamine+nitrate when the blood pressure came up.
Andy Webster A&E SpR
-----Original Message-----
From: Accident and Emergency Academic List
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Sent: 21 September 2002 18:34
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Subject: Acute LVF and Inotropes
Apologies if this is old hat to the list but...........
What inotrope are we all using these days for acute LVF and hypotension.
It
is always a little frustrating to refer pts up to the 'specialist' teams
after
ED mangement to hear them say 'Why aren't they on Dobutamine/ Dopamine'
and
other 'inotropes' that dont seem to work too well.
My personal favourite would be Epinepherine IVI to allow GTN IVI, but I
am meeting
resisitance from the admiiting teams. One of their lines is that the
patient
must go to ITU/HDU if they are on Epi and as usual the ED ends up stuck
between
the the medics and the ITUists
Is their any useful EBM out there? My search got bugger all.
What do we think?
Peter Cutting
Currently spending time on ITU but usually ED based
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