Cirugía cardiaca con circulación extracorpórea: síndrome vasoplégico y vasopresina / Vasoplegic syndrome and its treatment with vasopressin during cardiac surgery with cardiopulmonary bypass
Rev. méd. Chile
; 139(3): 368-372, mar. 2011.
Article
in Es
| LILACS
| ID: lil-597628
Responsible library:
BR1.1
ABSTRACT
Cardiac surgery with cardiopulmonary bypass is associated with systemic inflammatory response. In some cases this clinical condition is characterized by severe hypotension due to low systemic vascular resistance during and after cardiopulmonary bypass. Afew ofthese cases do not respond to volume or catecholamines. This condition is known as vasoplegic syndrome. Its etiology is notfully understood today and carries associated morbidity and mortality In this syndrome, vasopressin levéis are reduced, as in septic and hypovolemic shock. Supplementary vasopressin improves blood pressure and might be considered as an alternative treatment. Severa! reports have shown benefits when used alone or in combination with catecholamines. However, further studies are necessary to find the most appropriate use ofthe drug for vasoplegic syndrome.
Key words
Full text:
1
Index:
LILACS
Main subject:
Vasoconstrictor Agents
/
Vasopressins
/
Cardiopulmonary Bypass
/
Vasoplegia
/
Cardiac Surgical Procedures
Type of study:
Etiology_studies
/
Risk_factors_studies
Limits:
Humans
Language:
Es
Journal:
Rev. méd. Chile
Journal subject:
MEDICINA
Year:
2011
Type:
Article