Hemodynamics, fluids & transfusion

Multisystem hemodynamic effects of terlipressin in cirrhosis: A scoping review

J Crit CarePublished Scoping review

Authors' conclusion

Terlipressin exerts a variety of hemodynamic effects across organ systems and vascular beds.

Study context

Population
Adults with cirrhosis receiving terlipressin with hemodynamic parameters recorded56 studies
Outcome
Hemodynamic effects of terlipressin
Methodological details2022 studies retrieved, 56 met inclusion criteria, Searches up to December 2024: MEDLINE, Embase, Cochrane Library, Scopus, Web of Science, CINAHL
  • 2022 studies retrieved, 56 met inclusion criteria
  • Searches up to December 2024: MEDLINE, Embase, Cochrane Library, Scopus, Web of Science, CINAHL

Main finding

As reported in the abstract

  • Decreased heart rate
  • Increased MAP
  • Decreased cardiac output/index
  • Increased systemic vascular resistance
  • Other hemodynamic outcomes more varied across studies

Further findings

Parameters reported

Heart rate, MAP and CO most reported; pulmonary arterial and wedge pressure next; systemic vascular resistance, hepatic and renal measures fewer studies

Original publication

Multisystem hemodynamic effects of terlipressin in cirrhosis: A scoping review. J Crit Care. Published 16 February 2025. doi:10.1016/j.jcrc.2025.155038

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