Consensus on use of inotrope in critically ill patients
Delhi: A group of 42 international European Society of Intensive Care Medicine (ESICM) experts have formulated eleven strong recommendations for the use of inotrope in critically ill patients. The guideline is published in the journal Annals of Intensive Care.
Treatment decisions on critically ill patients with circulatory shock lack consensus. In an international survey, Thomas W. L. Scheeren, University of Groningen, Groningen, The Netherlands, and colleagues aimed to evaluate the indications, current practice, and therapeutic goals of inotrope therapy in the treatment of patients with circulatory shock.
For the purpose, an anonymous web-based survey on the use of cardiovascular drugs was made accessible to members of the ESICM. A total of 14 questions focused on the profile of respondents, the triggering factors, first-line choice, dosing, timing, targets, additional treatment strategy, and suggested effect of inotropes. In addition, a group of 42 international ESICM experts was asked to formulate recommendations for the use of inotropes based on 11 questions.
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