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B. Footnotes, Version VI (Clarified - ARDS Net

clarified - footnotes v6 to FACTT Protocol v2 ARDSNet Rev. May 1, 2004 -41 - B. footnotes , Version VI ( clarified ) A. Dobutamine: 1. Start at 5 mcg/kg/min and increase by 5 mcg/kg/min increments at 15 minute intervals until ineffective circulation reversed (CI greater than or equal to for PAC or fewer than 3 physical findings of ineffective circulation for CVP) or maximum dose of 20 mcg/kg/min reached. 2. Begin weaning 4 hours after ineffective circulation is reversed. Wean by greater than or equal to 25% of the stabilizing dose at intervals of less than or equal to 4 hours to maintain effective circulation 3.

Clarified-Footnotes v6 to FACTT Protocol v2 ARDSNet Rev. May 5,2004 - 43 - 2. Additional fluid boluses are allowed at the discretion of the physician.

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