Weaning VA-ECMO For Heart Failure, Do You Need Milrinone Or Dobutamine?

https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-weaning-va-ecmo-for-heart-failure-do-you-need-milrinone-or-dobutamine/

Weaning VA-ECMO For Heart Failure, Do You Need Milrinone Or Dobutamine?

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Hi, it’s Patrik Hutzel from intensivecarehotline.com with another quick tip for families in intensive care.

Today, I want to continue from the last quick tip where I was talking about weaning off VA ECMO and that there shouldn’t be an intra-aortic balloon pump (IABP) present. Now, continuing from that quick tip, I also want to focus today on what else should be in place when someone is weaning from VA ECMO for acute heart failure after cardiac arrest, after cardiomyopathy, after a heart attack and so forth.

So one thing that should be in place when someone is weaning off VA ECMO is inotropes such as dobutamine and milrinone because they increase the contractility of the heart and they may also get blood pressure down a little bit. As part of the side effects for milrinone or dobutamine is that the systemic vascular resistance is dropping down slightly and that can be counteracted with a vasopressor such as noradrenaline or vasopressin, mainly noradrenaline or norepinephrine for our friends in the United States...

Continue reading at: https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-weaning-va-ecmo-for-heart-failure-do-you-need-milrinone-or-dobutamine/