>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
Talk to your ITU bods.......... dobutamine is a Beta 1 chronotrope and inotrope
as well as an alpha 1 and beta 2 venoDILATOR. Apparently the dilatation out
weighs the small inotrope effect The result pharamcologically speaking should
be an increased rate but a DROP in BP!!
Epi, oh alright, adrenaline is more beta 1 (but is not clean either)so causes
a positive inotropic effect on balance (Though it can cause a drop in diastolic).
I hear some chaps in London have given up on all inotropes but Adren and then
use GTN to off load in acute LVF or is thisjust hear say (note no apostrophe)
Cheers
Peter Cutting
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