INOTROPICOS Y VASOPRESORES EN PEDIATRIA PDF

Al aumento del gasto cardaco Efecto vasodilatador Efectos sobre el lecho pulmonar Efectos sobre el lecho renal Efectos sobre el lecho esplcnico Vasoconstriccin Aumenta la resistencia vascular pulmonar. Aumenta la resistencia vascular renal. Aumenta el flujo esplcnico en choque sptico. Disminuye el flujo sanguneo En pacientes sin choque renal. Induce hiperglicemia. Riesgo de necrosis con la extravasacin mayor que con la adrenalina.

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A dosis bajas 0. La suma de estos efectos ocasiona el aumento de la PAM. Presentes en la musculatura lisa vascular y cardiaca. El flujo coronario se mantiene debido al efecto vasoconstrictor9. El efecto vasopresor de la vasopresina no es afectado por la acidosis o la hipoxia que se desarrolla en los estados de choque. Inotropes and vasopressors: review of physiology and clinical use in cardiovascular disease. Circulation ; Low dose dopamine in patients with early renal dysfunction: a placebo-controlled randomised trial.

Lancet ; Peripheral vascular effects of noradrenaline, isopropylnor adrenaline and dopamine. Br Med Bull ; The effects of dopamine and adrenaline infusions on acid-base balance and systemic haemodynamics in severe infection. Adrenaline in treatment of septic shock: effects on haemodynamics and oxygen transport. Intensive Care Med ; Use of inotropes and vasopressor agents in critically ill patients.

Br J Pharmacol ; The effect of increasing doses of norepinephrine on tissue oxygenation and microvascular flow in patients with septic shock. Crit Care Med ; Guimaraes S, Moura D. Vascular adrenoceptors: an update. Pharmacol Rev ; Ruffolo RR Jr.

The pharmacology of dobutamine. ATP-channel inhibition improves hemodynamics and cellular energetic in hemorrhagic shock. Am J Physiol ;HH Arginine vasopressin inhibits interleukin-1 beta stimulated nitric oxide and cyclic guanosine monophosphate production via the V1 receptor in the cultured rat vascular smooth cells. J Hypertens ; The effects of vasopressin on endotoxin-induced attenuation of contractile responses in human gastroepiploic arteries in vitro.

Anesth Analg; Vasopressin for vasopressor-dependent septic shock. Am J Health Syst Pharm ; Influence of the novel inotropic agent levosimendan on isometric tension and calcium cycling in failing human myocardium. Dellinger RP. Cardiovascular management of septic shock. Norepinephrine or dopamine for the treatment of hyperdynamic septic shock? Chest ; Effect of norepinephrine on the outcome of septic shock. Effects of dopamine, norepinephrine, and epinephrine on the splanchnic circulation in septic shock: Which is best?

Effects of epinephrine on hemodynamics and oxygen metabolism in dopamine- resistant septic shock. Effects of norepinephrine, epinephrine, and norepinephrine-dobutamine on systemic and gastric mucosal oxygenation in septic shock. Acta Pharm Sin ; Comparison of norepinephrine and dobutamine to epinephrine for hemodynamics, lactate metabolism, and gastric tonometric variables in septic shock: A prospective, randomized study. Adrenaline in treatment of septic shock: Effects on haemodynamics and oxygen transport.

Epinephrine as an inotropic agent in septic shock: A dose-profile analysis. Norepinephrine plus dobutamine versus epinephrine alone for management of septic shock: A randomized trial. Levinson G , Shnider SM.

Vasopressors in Obstetrics. Clin Anesth. The use of a continuous infusion of epinephrine for anaphylactic shock during labor. Am J Obstet Gynecol. Drugs in pregnancy and lactation. A reference guide to fetal and neonatal risk. Myocardial infarction and cardiac arrest in the second trimester followed by assisted vaginal delivery under epidural analgesia at 38 weeks gestation.

Case report. Br J Obstet Gynecol. Placental transfer of milrinone in the nonhuman primate baboon.

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INOTRÓPICOS Y VASOACTIVOS.ppt

Doumuro Sodium restriction versus daily maintenance replacement in very low birth weight premature neonates: Relation between proton magnetic resonance spectroscopy within 18 hours of birth asphyxia and neurodevelopment at 1 year of age. Publicar un comentario Se ruega que los autores de los comentarios se identifiquen nombre, apellidos, lugar de trabajo. Glucocorticoid-responsive hypotension in extremely low birth weight newborns. The effect of hydrocortisone on blood pressure in preterm neonates with vasopressor-resistant hypotension. The effect of profound umbilical artery acidemia in term neonates admitted to a newborn nursery. Determinants of blood pressure in infants admitted to neonatal intensive care units: White pediwtria and cortical injury in oediatria encephalopathy: Sus efectos a nivel de los diferentes sistemas dependen de la dosis.

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Terapia con Vasoactivos e Inotrópicos en Medicina Crítica Obstétrica

Insuficiencia cardiaca asociada a incremento de la frecuencia cardiaca y resistencias vasculares sistmicas. Estenosis subartica hipertrfica idioptica. Hipersensibilidad demostrada a la droga. La infusin IV puede asociarse flebitis y ocasionalmente necrosis tisular. Coadyuvante temporal en el tratamiento de parada cardiaca y de hipotensin aguda. Hipersensibilidad al medicamento.

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