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suck abstract from ncbi


10.2174/1573403X12666151119164647

http://scihub22266oqcxt.onion/10.2174/1573403X12666151119164647
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C4861938!4861938!26585039
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suck abstract from ncbi


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pmid26585039      Curr+Cardiol+Rev 2016 ; 12 (2): 107-11
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  • Management of the Low Cardiac Output Syndrome Following Surgery for Congenital Heart Disease #MMPMID26585039
  • Chandler HK; Kirsch R
  • Curr Cardiol Rev 2016[May]; 12 (2): 107-11 PMID26585039show ga
  • The purpose of this review is to discuss the management of the low cardiac output syndrome (LCOS) following surgery for congenital heart disease. The LCOS is a well-recognized, frequent post-operative complication with an accepted collection of hemodynamic and physiologic aberrations. Approximately 25% of children experience a decrease in cardiac index of less than 2 L/min/m2 within 6-18 hours after cardiac surgery. Post-operative strategies that may be used to manage patients as risk for or in a state of low cardiac output include the use of hemodynamic monitoring, enabling a timely and accurate assessment of cardiovascular function and tissue oxygenation; optimization of ventricular loading conditions; the judicious use of inotropic agents; an appreciation of and the utilization of positive pressure ventilation for circulatory support; and, in some circumstances, mechanical circulatory support. All interventions and strategies should culminate in improving the relationship between oxygen supply and demand, ensuring adequate tissue oxygenation.
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