• J L Pérez Vela, J C Martín Benitez, M Carrasco Gonzalez, M A de la Cal López, R Hinojosa Pérez, V Sagredo Meneses, F del Nogal Saez, and Grupo de Trabajo de Cuidados Intensivos Cardiológicos y RCP de SEMICYUC, con el aval científico de la SEMICYUC.
• Servicio de Medicina intensiva, Hospital Universitario 12 de Octubre, Madrid, España. perezvela@yahoo.es
• Med Intensiva. 2012 May 1;36(4):277-87.

AbstractLow cardiac output syndrome is a potential complication in cardiac surgery patients and is associated with increased morbidity and mortality. This guide provides recommendations for the management of these patients, immediately after surgery and following admission to the ICU. The recommendations are grouped into different sections, addressing from the most basic concepts such as definition of the disorder to the different sections of basic and advanced monitoring, and culminating with the complex management of this syndrome. We propose an algorithm for initial management, as well as two others for ventricular failure (predominantly left or right). Most of the recommendations are based on expert consensus, due to the lack of randomized trials of adequate design and sample size in patients of this kind. The quality of evidence and strength of the recommendations were based on the GRADE methodology. The guide is presented as a list of recommendations (with the level of evidence for each recommendation) for each question on the selected topic. For each question, justification of the recommendations is then provided.Copyright © 2011 Elsevier España, S.L. y SEMICYUC. All rights reserved.

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