Hi all:

I would ask if anyone has experience treating cardiogenic shock or heart failure in infants with levosimendan.

Sincerely,

Dr. Fernando Agama C.

Unidad de Neonatología

Hospital "Dr. Enrique Garcés"

Quito-Ecuador

Dear Fernando,

to be honest, not in neonates. I do have some experience on Simdax in PICU patients mainly above the age of 3-4 years. We kept these patiens on PICU for a few hours, sometimes for a day during the first treatment just to make sure that they would not get too hypotensive, tachycardic or arrythmic.

All the patients I remember were pure cardiology patients. Performing ECHO myself, I was always deeply impressed by the effect of Simdax.

You could give it a try (depending on the diagnosis) but make sure you have your cardiologist on board. Have you considered Milrinone?

All the best

Alexander

Hello, a warm greeting:

Thanks for taking time to respond.

Actually, if we used milrinone in infants. But I had heard that the drug levosimendan was very effective for older pediatric patients, particularly those undergoing cardiac surgery.

Sincerely,

Dr. Fernando Agama C.

Unidad de Neonatología

Hospital "Dr. Enrique Garcés"

Quito-Ecuador