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Bohn Stafleu van Loghum, Critical Care, 4(15), p. 179

DOI: 10.1186/cc10311

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Another nail in the hammer's coffin?

Journal article published in 2011 by Mervyn Singer ORCID, David Brealey
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Preprint: archiving allowed
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Postprint: archiving restricted
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Published version: archiving forbidden
Data provided by SHERPA/RoMEO

Abstract

Blood pressure saggy? Cardiac output low? Oliguria? Increasing acidosis? Peripheries a bit cool? Poor cardiac history? No problem. Just start some dobutamine and watch the numbers improve. And if the patient happens to die, that is their fault. Or is it? Catecholamines are long-established drugs that have never undergone formal testing of long-term outcomes and safety. Their use requires re-evaluation in the light of a wide range of deleterious actions and retrospective studies suggesting harm.