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Current Anesthesiology Reports
Erschienen in: Current Anesthesiology Reports 2/2019

25.03.2019 | Critical Care Anesthesia (BS Rasmussen, Section Editor)

Inotropes and Vasoactive Agents: Differences Between Europe and the United States

verfasst von: Dieter Van Beersel, Steffen Rex

Erschienen in: Current Anesthesiology Reports | Ausgabe 2/2019

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Abstract

Purpose of Review

This review focuses on the place of vasoactive agents in the treatment of shock. We will discuss evidence and compare available guidelines and current treatment patterns between Europe and the United States (US).

Recent Findings

Retrospective data from large registries demonstrated a wide variability between physicians and hospitals in the use of vasoactive agents in the treatment of shock, especially with regard to inotropes. This is due to a paucity of evidence-based data and hence a lack of clear recommendations on how to choose one agent over another. Norepinephrine has replaced dopamine as the first-line vasopressor agent in clinical practice. In patients with acute heart failure, European physicians use more inotropes than their colleagues in the US, whereas cardiac surgical patients receive more inotropes in the US.

Summary

Overall, practice patterns between Europe and the US do not differ substantially (except for a higher use of dopamine in the US), with dobutamine and norepinephrine being the most commonly used agents.
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Metadaten
Titel
Inotropes and Vasoactive Agents: Differences Between Europe and the United States
verfasst von
Dieter Van Beersel
Steffen Rex
Publikationsdatum
25.03.2019
Verlag
Springer US
Erschienen in
Current Anesthesiology Reports / Ausgabe 2/2019
Elektronische ISSN: 2167-6275
DOI
https://doi.org/10.1007/s40140-019-00323-2

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