학술논문

Management of Vasoplegic Shock in the Cardiovascular Intensive Care Unit After Cardiac Surgery
Document Type
Article
Source
Critical Care Clinics; 20230101, Issue: Preprints
Subject
Language
ISSN
07490704
Abstract
Vasoplegic 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.