This review highlights that while few novel strategies exist for weaning from cardiopulmonary bypass, attention to non-cardiac factors and diastolic ventricular function is critical.
Prioritizes established weaning protocols and diastolic assessment now; leaves open prospective evaluation of novel strategies.
This review focuses on weaning from cardiopulmonary bypass, a very critical time for patients and anaesthetists and frequently requiring major therapeutic effort. Few novel strategies for weaning have been described recently. Most drugs or approaches described during the review period are already well established. Emphasis is placed on the importance of non-cardiac factors, and on the importance of diastolic ventricular function as opposed to systolic function.
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Urzúa et al. (1999) studied this question.
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