A more detailed review of noradrenaline is available, where its many virtues are gleefully explored. The generic approach to the haemodynamically unstable cardiac surgical patient is also discussed elsewhere; noradrenaline forms a small part of the overall approach.
However, in Question 7 from the first paper of 2013, , the candidate was expected to reason throughtfully about the advantages and disadvantages of using a α-1 agonist specifically in the management of a post-bypass patient.
The summary below, therefore, relates only to this specific use of noradrenaline.
Maas, Jacinta J., et al. "Cardiac Output Response to Norepinephrine in Postoperative Cardiac Surgery Patients: Interpretation With Venous Return and Cardiac Function Curves*." Critical care medicine 41.1 (2013): 143-150.
Hajjar, L., et al. "Vasopressin Versus Norepinephrine for the Management of Shock After Cardiac Surgery (VaNCS study): a randomized controlled trial." Critical Care17.Suppl 2 (2013): P222.
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