Following the cardiopulmonary bypass, she had no need for inotropic agents
. She was able to be extubated 24 hours after the operation.
Classes of drugs used in the management of acute heart failure include angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers, beta blockers, digoxin, diuretics, aldosterone antagonists, nitrates, inotropic agents
, and anticoagulants.
Despite treatment with a mechanical ventilation, ECMO, inotropic agents
, and oseltamivir, she died of ARDS and multiorgan failure after a 5-day stay in the ICU.
Of these, 2 had myocardial dysfunction and required multiple inotropic agents
and renal replacement therapy.
Administration of positive inotropic agents
was initiated, and septic shock developed.
This was likely the result of hyperdynamic ventricular contractility and stroke volume due to inotropic agents
and severe aortic insufficiency, respectively.
Specifically, immediate and intensive treatment with colloidal fluid resuscitation, inotropic agents
, adequate alimental support, and mechanical ventilation is indispensable for a favorable outcome, if needed .
He died nine hours after the admission to the hospital despite aggressive respiratory and circulatory support including intubation and mechanical ventilation, administration of inotropic agents
Patient's capillary withdrawal time was prolonged (>5 sec) and were given inotropic agents
, vasopressor support and saline challange twice a day (20 cc/kg) Her blood gases were; pH 6,56, pCO2: 104 mmHg, HCO3:9,2 mmol/L, Be:-31,6, lactat: 16,32 mmol/L at her admission.
Throughout HDF, the patient continued to be hypotensive and bradycardic necessitating an increased dose of inotropic agents
. Metabolic acidosis was also persistent requiring repeated sodium bicarbonate administration.
The control group was given continuous low flow oxygen inhalation and inotropic agents
, and their cardiac stress was also reduced.