Continuous Intravenous Inotropes in Ward Units: Expanding Therapy Outside Intensive Care using a Safety-Oriented Protocol

Autor: Laura Caroline Tavares Hastenteufel, Nadine Clausell, Jeruza Lavanholi Neyeloff, Fernanda Bandeira Domingues, Larissa Gussatschenko Caballero, Eneida Rejane Rabelo da Silva, Lívia Adams Goldraich
Jazyk: English<br />Portuguese
Předmět:
Zdroj: Arquivos Brasileiros de Cardiologia, Vol 112, Iss 5, Pp 573-576
Druh dokumentu: article
ISSN: 1678-4170
DOI: 10.5935/abc.20190078
Popis: Abstract Selected clinically stable patients with heart failure (HF) who require prolonged intravenous inotropic therapy may benefit from its continuity out of the intensive care unit (ICU). We aimed to report on the initial experience and safety of a structured protocol for inotropic therapy in non-intensive care units in 28 consecutive patients hospitalized with HF that were discharged from ICU. The utilization of low to moderate inotropic doses oriented by a safety-focused process of care may reconfigure their role as a transition therapy while awaiting definitive advanced therapies and enable early ICU discharge.
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