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Ann Thorac Surg 1990;50:482-484
© 1990 The Society of Thoracic Surgeons

Articles

Diuresis in hemodynamically compromised patients: Continuous furosemide infusion

James A. Magovern, MD*, George J. Magovern, Jr, MD

Department of Cardiothoracic Surgery, Allegheny General Hospital, The Medical College of Pennsylvania, Allegheny Campus, Pittsburgh, Pennsylvania, USA

Accepted for publication May 4, 1990.

* Address reprint requests to Dr J. Magovern, Department of Cardiothoracic Surgery, Allegheny General Hospital, 320 E. North Ave, Pittsburgh, PA 15212.

We have used continuous infusion of furosemide to achieve diuresis in patients who are stable but hemodynamically compromised after heart operations. With a loading dose of 20 mg and a continuous infusion of 4 to 10 mg of furosemide per hour, mean 24-hour urine output was 5.7 L (238 ± 65 mL/h), Potassium replacement was 115 ± 20 mmol [115 ± 20 mEq/L]. Cardiac index, central venous pressure, and diastolic pulmonary artery pressure did not change significantly, even though hemodynamic support was decreased in each patient. Continuous furosemide infusion is a simple, effective, and reliable method to achieve diuresis in select patients.




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