Levosimendan as a treatment for acute renal failure associated with cardiogenic shock after hip fracture

Fabiola Quinteros Hinojosa; Margarita Revelo; Alexander Salazar; Genaro Maggi; Renato Schiraldi; Nicolas Brogly; Fernando Gilsanz

doi:10.1016/j.bjane.2014.07.009

Clinical Information

Levosimendan as a treatment for acute renal failure associated with cardiogenic shock after hip fracture

Levosimendana como tratamento para insuficiência renal aguda associada a choque cardiogênico após fratura de quadril

Fabiola Quinteros Hinojosa; Margarita Revelo; Alexander Salazar; Genaro Maggi; Renato Schiraldi; Nicolas Brogly; Fernando Gilsanz

http://dx.doi.org/10.1016/j.bjane.2014.07.009 Braz J Anesthesiol, vol.67, n1, p.89-91, 2017

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Abstract

Abstract Inotropic drugs are part of the treatment of heart failure; however, inotropic treatment has been largely debated due to the increased incidence of adverse effects and increased mortality. Recently levosimendan, an inotropic positive agent, has been proved to be effective in acute heart failure, reducing the mortality and improving cardiac and renal performance. We report the case of a 75-year-old woman with history of heart and renal failure and hip fracture. Levosimendan was used in preoperative preparation as an adjuvant therapy, to improve cardiac and renal function and to allow surgery.

Keywords

Levosimendan, Cardiogenic shock, Renal failure, Hip fracture, Perioperative care

Resumo

Resumo Fármacos inotrópicos fazem parte do tratamento de insuficiência cardíaca; no entanto, o tratamento com inotrópicos tem sido amplamente debatido devido ao aumento da incidência de efeitos adversos e da mortalidade. Recentemente, levosimendana, um agente inotrópico positivo, provou ser eficaz na insuficiência cardíaca aguda, reduz a mortalidade e melhora o desempenho cardíaco e renal. Relatamos o caso de uma paciente de 75 anos, com história de insuficiência cardíaca e renal e fratura de quadril. Levosimendana foi usada na preparação do pré-operatório como terapia adjuvante para melhorar a função cardíaca e renal e permitir a cirurgia.

Palavras-chave

Levosimendana, Choque cardiogênico, Insuficiência renal, Fratura de quadril, Cuidados perioperatórios

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Levosimendan as a treatment for acute renal failure associated with cardiogenic shock after hip fracture

Levosimendana como tratamento para insuficiência renal aguda associada a choque cardiogênico após fratura de quadril

Fabiola Quinteros Hinojosa; Margarita Revelo; Alexander Salazar; Genaro Maggi; Renato Schiraldi; Nicolas Brogly; Fernando Gilsanz

Abstract

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