Which inotrope?

Abstract 

A variety of inotropes are used to support the failing heart and improve arterial pressure. There is debate over the competing merits of the various agents available and a lack of good evidence on which to base clinical practice, particularly in paediatrics. Studies comparing the various agents have usually been performed on a small number of patients, and some have produced contradictory results. Recommendations are made based on the best evidence available and on the beliefs and personal experience of the authors.

Keywords: cardiac output low, paediatrics, adrenergic agonists, cardiotonic agents, phosphodiesterase inhibitors

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• f1 Correspondence to CRG.: Tel.: 01865 221590; Fax.: 01865 221477; E-mail: kategreb@btinternet.com