• Crit Care Nurs Clin North Am · Dec 2005

    Review

    Low cardiac output syndrome: identification and management.

    • Linda Massé and Marie Antonacci.
    • Pediatric Intensive Care Unit, Montreal Children's Hospital, McGill University Centre, 2300 Tupper Street, Room F-240, Montreal, Quebec, H3H 1P3, Canada. linda.masse@muhc.mcgill.ca
    • Crit Care Nurs Clin North Am. 2005 Dec 1; 17 (4): 375-83, x.

    AbstractLow cardiac output syndrome (LCOS) is a clinical condition that is caused by a transient decrease in systemic perfusion secondary to myocardial dysfunction. The outcome is an imbalance between oxygen delivery and oxygen consumption at the cellular level which leads to metabolic acidosis. Although LCOS is observed most commonly in patients after cardiac surgery, it may present in various disease processes resulting in cardiac dysfunction. This article provides an overview of the determinants involved in oxygen transport, the physiologic factors influencing cardiovascular function, the assessment of hemodynamic variables, the etiology of LCOS, and management strategies, including a brief review of some pharmacologic agents that are used in the treatment of low cardiac output.

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