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KMID : 1148020140390040259
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조선대학교의대논문집
2014 Volume.39 No. 4 p.259 ~ p.262
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Application of Milrinone and Doxapram in the Treatment of Cardiogenic Shock Due to Acute Right Ventricular Failure after Hemiarthroplasty in a Patient with Pulmonary Hypertension
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An Tae-Hun
Park Cheon-Hee
Park Hong-Chan
An Sang-Soon
Lim Yong-Seok
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Abstract
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In treatment of right ventricular failure with pulmonary hypertension, milrinone has not only an inotropic effect but also a vasodilating effect, thus, recently, it has been widely used. Recent studies have reported on the direct stimulation effects of doxapram on the central nervous system. A 91-year-old female underwent hemiarthroplasty under spinal anesthesia. When transported to the recovery room, right ventricular failure, cardiogenic shock, and mental deepening occurred. After stabilizing vital signs, milrinone, doxapram was administered. We report on the effective use of milrinone for acute right ventricular failure and the active use of doxapram for reduced consciousness and hypoventilation.
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KEYWORD
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Hypertension, Pulmonary, Heart failure, Milrinone, Doxapram
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FullTexts / Linksout information
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Listed journal information
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