• Critical care clinics · Jan 2024

    Review

    Management of Vasoplegic Shock in the Cardiovascular Intensive Care Unit after Cardiac Surgery.

    • Orlando R Suero, Yangseon Park, Patrick M Wieruszewski, and Subhasis Chatterjee.
    • Baylor St. Lukes Medical Center, 6720 Bertner Avenue, Room 0-520, Houston, TX 77030, USA.
    • Crit Care Clin. 2024 Jan 1; 40 (1): 738873-88.

    AbstractVasoplegic shock after cardiac surgery is characterized by hypotension, a high cardiac output, and vasodilation. Much of the understanding of this pathologic state is informed by the understanding of septic shock. Adverse outcomes and mortality are increased with vasoplegic shock. Early recognition and a systematic approach to its management are critical. The need for vasopressors to sustain an adequate blood pressure as well as pharmacologic adjuncts to mitigate the inflammatory inciting process are necessary. The rationale behind vasopressor escalation and consideration of adjuncts are discussed.Copyright © 2023 Elsevier Inc. All rights reserved.

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