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2 results

  • Chapter 33 - Cardiovascular System: Pharmacology

  • Edited by Dharti Patel, Mount Sinai West and Morningside Hospitals, New York, Sang J. Kim, Hospital for Special Surgery, New York, Himani V. Bhatt, Mount Sinai West and Morningside Hospitals, New York, Alopi M. Patel, Rutgers Robert Wood Johnson Medical School, New Jersey
  • Book:
    BASIC Essentials
    Published online:
    21 February 2025
    Print publication:
    13 March 2025, pp 176-185

  • Summary

    The cardiovascular pharmacology chapter focuses on therapeutic agents utilized by anesthesiologists in the treatment of a myriad of pathologies encountered in the operating room environment and elsewhere. The chapter provides a succinct outline of major classes of cardiovascular drugs that are an integral part of the practice of anesthesiology. The aim of the chapter is to deliver said material in an easy to read format to those preparing for board examinations and as a review for the practicing anesthesiology resident physician

  • Prehospital Treatment with Dobutamine

  • Bjarne Oberg, Mogens Bredgaard Sorensen
  • Journal:
    Prehospital and Disaster Medicine / Volume 8 / Issue 3 / September 1993
    Published online by Cambridge University Press:
    28 June 2012, pp. 247-249
    Print publication:
    September 1993
  • Purpose:

    To assess the effectiveness of the use of dobutamine hydrochloride in out-of hospital emergency situations.

    Population:

    Patients with severe circulatory insufficiency caused by acute illness or injury encountered by the Mobile Intensive Care Unit of Copenhagen (population 467,000) during a 15-month study period.

    Methods:

    A newly developed dobutamine solution was administered by infusion pump to patients in whom normal emergency treatment failed to restore an acceptable circulatory state.

    Results:

    A total of 40 patients were treated with 4–48 μg dobutamine/kg/minute. The treatment was judged to be primary life-saving in 15 patients, the condition was improved in 16 patients, and nine patients died. Systolic blood pressures (in those who survived) rose from a mean value of 45 mmHg (range 0–80 mmHg) to 105 mmHg (range 65–180 mmHg). No tachycardia or arrhythmias were noted.

    Conclusion:

    This newly developed dobutamine solution is very useful in prehospital treatment of patients with circulatory failure and is recommend for use by mobile intensive care unit teams.