Document Detail


Oral ibopamine substitution in patients with intravenous dopamine dependence.
MedLine Citation:
PMID:  7585741     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a prospective open study we evaluated whether intravenous dopamine infusions can be safely switched to enterally administered ibopamine in dopamine-dependent patients. Six patients defined as being clinically stable, normovolaemic, but dopamine dependent, i.e. with repeated inability to stop intravenous dopamine, were included. Ibopamine was administered via a nasogastric or nasoduodenal tube. During the initial 48-hour period of ibopamine administration the dopamine infusion was gradually decreased and then discontinued. Arterial blood pressure was continuously recorded via a 20-gauge cannula in the radial artery. Urine output was measured each hour. In all 6 patients it was possible to decrease and then discontinue the dopamine infusion whilst maintaining haemodynamic stability and an appropriate diuresis. It was then possible to discharge the patients from the intensive care unit. Normovolaemic, clinically stable but dopamine-dependent patients may be weaned off intravenous dopamine by substitution of enterally administered ibopamine, allowing discharge from the intensive care unit.
Authors:
A R Girbes; A R Milner; B V McCloskey; J H Zwaveling; D J van Veldhuisen; J G Zijlstra; K I Lie
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiology     Volume:  86     ISSN:  0008-6312     ISO Abbreviation:  Cardiology     Publication Date:  1995  
Date Detail:
Created Date:  1995-11-30     Completed Date:  1995-11-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1266406     Medline TA:  Cardiology     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  391-5     Citation Subset:  IM    
Affiliation:
Department of Surgery, University Hospital Groningen, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Administration, Oral
Aged
Aged, 80 and over
Deoxyepinephrine / administration & dosage,  analogs & derivatives*
Dopamine / administration & dosage*
Dopamine Agonists / administration & dosage*
Female
Humans
Infusions, Intravenous
Intensive Care*
Male
Middle Aged
Prospective Studies
Chemical
Reg. No./Substance:
0/Dopamine Agonists; 501-15-5/Deoxyepinephrine; 66195-31-1/ibopamine

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