Dr Fabio Guarracino – Peer-to-peer review: Decatecholaminization of ICU: Why and how?

Catecholamines are frequently used (and recommended) in critically ill patients but can have detrimental, negative and often underappreciated side effects, not only to the heart but also other physiological systems, impacting survival rate and long-term outcomes. Dr Gurracino explains the effects of sympathetic overstimulation, the need for decatechloaminization and explores alternative treatment options without adrenergic receptor mechanisms that have been introduced for inotropic support.

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