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Scholz A et al. – In view of the controversy over the use of inotropes in free tissue transfer surgery, the authors assessed the effect of different intra–operative dobutamine infusion rates on blood flow in the anastomosed recipient artery. Both mean and maximum blood flow increased significantly in the anastomosed artery at dobutamine infusions of 4 and 6 microg.kg^?1.min^?1 and this was accompanied by increased cardiac output. This may improve free flap perfusion.


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