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Circulatory support 

Circulatory support
Chapter:
Circulatory support
Author(s):

Andrew Sinclair

and Alistair Macfie

DOI:
10.1093/med/9780199692958.003.0027
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date: 20 September 2019

This chapter describes the pharmacological, mechanical and extracorporeal support of the circulatory system. The section on the pharmacological management of circulatory failure covers inotropes, vasopressors, and vasodilators. Within each section the key pharmacological agents are described together with their dose-dependent cardiovascular system effects, clinical indications, and dosing range. Extracorporeal life support is defined. Each of the following devices is explained, with the indications, contraindications, and complications outlined: intra-aortic balloon pumps, short-term ventricular assist device, long-term ventricular assist device, extracorporeal membrane oxygenation and extracorporeal lung support.

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