Use of methoxamine in the resuscitation of epinephrine-resistant electromechanical dissociation.
Anaesthesia
; 56(11): 1085-9, 2001 Nov.
Article
en En
| MEDLINE
| ID: mdl-11703242
We describe three cases of electromechanical dissociation under anaesthesia that were unresponsive to doses of intravenous epinephrine given according to current Advanced Life Support guidelines, but which responded immediately to the intravenous administration of the pure alpha agonist, methoxamine. We suggest a possible mechanism to explain this finding and review the literature on vasopressor drugs used for cardiopulmonary resuscitation during electromechanical dissociation. An intravenous alpha agonist, such as methoxamine 20 mg, should be considered for any case of cardiac arrest secondary to electromechanical dissociation which is unresponsive to epinephrine given according to current guidelines.
Buscar en Google
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Vasoconstrictores
/
Reanimación Cardiopulmonar
/
Agonistas alfa-Adrenérgicos
/
Paro Cardíaco
/
Complicaciones Intraoperatorias
/
Metoxamina
Límite:
Adult
/
Aged
/
Aged80
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Anaesthesia
Año:
2001
Tipo del documento:
Article
Pais de publicación:
Reino Unido