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Noninvasive Administration of Inhaled Epoprostenol and Inhaled Milrinone in Extubated, Spontaneously Breathing Patients With Right Ventricular Failure and Portal Hypertension: A Report of 2 Cases.
- Source :
-
A&A practice [A A Pract] 2019 Mar 15; Vol. 12 (6), pp. 208-211. - Publication Year :
- 2019
-
Abstract
- We describe the cases of 2 patients free from mechanical ventilation after a cardiac surgery with systemic venous congestion from right ventricular (RV) failure. Management of these patients included RV preload reduction with diuretics and RV afterload reduction with inhaled pulmonary vasodilators. Noninvasive combination of inhaled epoprostenol and inhaled milrinone through the AirLife filtered nebulizer system (CareFusion) was used. Reduction of splanchnic venous congestion was assessed by Doppler portal flow pulsatility.
- Subjects :
- Administration, Inhalation
Aged
Airway Extubation
Antihypertensive Agents administration & dosage
Cardiac Surgical Procedures methods
Drug Therapy, Combination
Female
Humans
Male
Vasodilator Agents administration & dosage
Ventricular Dysfunction, Right drug therapy
Young Adult
Epoprostenol administration & dosage
Heart Failure drug therapy
Hypertension, Portal drug therapy
Milrinone administration & dosage
Subjects
Details
- Language :
- English
- ISSN :
- 2575-3126
- Volume :
- 12
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- A&A practice
- Publication Type :
- Academic Journal
- Accession number :
- 30216198
- Full Text :
- https://doi.org/10.1213/XAA.0000000000000886