Heart rate reduction with esmolol in septic shock: effects on microcirculation

Autor: C Raffone, Annalia D'Egidio, Paolo Pietropaoli, Abele Donati, C Scarcella, A Di Russo, Martin Westphal, Roberta Domizi, F D'Ippolito, S. Rehberg, Andrea Carsetti, Christian Ertmer, Andrea Morelli
Rok vydání: 2012
Předmět:
Zdroj: Critical Care
Popis: Preclinical and clinical studies report that β-blockers may be an interesting option to attenuate the deleterious effects of prolonged catecholamine exposure during septic shock. Nevertheless, there are concerns that β-blockers may have negative chronotropic and inotropic effects leading to inappropriately low cardiac output. The objective of the present study was therefore to elucidate whether a reduction in heart rate (HR) with esmolol may negatively affect microcirculation in patients with septic shock who remained tachycardic after hemodynamic optimization.
Databáze: OpenAIRE