milrinon uses

[nashwa]

Can anyone told me when I can use it in newborn

[nashwa]

No one

[devang171086]

Ya

We can use mirinone safely in newborn...loading dose 75 ug/kg in 1 hour f/b 5-7ug/kg/min

[devang171086]

In shock n mas developing PPHN

[nashwa]

it dec SVR .....yes , what mechanism to use it in shock

[priyabhagwat]

We use it in postop cardiac surgeris also.to reduce afterload on heart.

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[nashwa]

If there is hypotension....can I use it

Of course not

Usually in neonate, there is vasdilatation of bl v

So when I used it

[devang171086]

All d form of shock finally causing heart pump failure.. due to one mechanism is vaso constriction and increase after load...milrinon has action of increase heart contractility and decrease after load by vasodilation...

[devang171086]

If hypotension due to shock den we of course we can use...

[devang171086]

We use it in our nicu which had got good results ...if shock is not manage by dopamine..we use milrinon along with dopamine