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Value of dobutamine in children surgically treated for portal hypertension. Apropos of 23 cases



Value of dobutamine in children surgically treated for portal hypertension. Apropos of 23 cases



Cahiers d'Anesthesiologie 42(5): 577-581



In children undergoing mesenterico-caval or distal spleno-renal shunting for extrahepatic portal hypertension, dobutamin (3-5 micrograms.kg-1.min-1 for 24 hr postoperatively) prevents right ventricle dysfunction and pulmonary hypertension resulting from suddenly increased blood return to the heart by the inferior vena cava, thus improving cardiac output and myocardial contractility. Twelve 1-15 yr children benefitted from this inotropic therapy without any adverse side effect.

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Accession: 044938414

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PMID: 7728600



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