Table 3.
Inclusion criteria | |
Patients receiving VA-ECMO for any reason | |
Dopamine/dobutamine < 5 μg/kg/min, no administration of adrenaline or norepinephrine | |
Within 7 days after initiation of VA-ECMO | |
Exclusion criteria | |
Age < 18 years | |
Receiving ECMO bridging to heart transplantation | |
Contraindications or intolerance to beta-blockers | |
Moderate or severe bronchial asthma attack or history of bronchial asthma | |
Sinus bradycardia (heart rate < 60 bpm) | |
Type II second-degree or third-degree AVB | |
Allergy to esmolol | |
Receiving ECMO again during hospitalization or respiratory failure has already initiated VV-ECMO or extracorporeal carbon dioxide removal device before the initiation of VA-ECMO of this time | |
Have been on beta-blocker treatment after initiation of ECMO | |
Women at child-bearing age, pregnant or positive pregnancy test |
ECMO extracorporeal membrane oxygenation, AVB atrioventricular block, VA-ECMO veno-arterial extracorporeal membrane oxygenation, VV-ECMO veno-venous extracorporeal membrane oxygenation