Vasopressin for refractory hypotension during cardiopulmonary bypass.
نویسندگان
چکیده
منابع مشابه
Role of vasopressin in current anesthetic practice
Arginine vasopressin (AVP), also known as antidiuretic hormone, is a peptide endogenously secreted by the posterior pituitary in response to hyperosmolar plasma or systemic hypoperfusion states. When administered intravenously, it causes an intense peripheral vasoconstriction through stimulation of V1 receptors on the vascular smooth muscle. Patients in refractory shock associated with severe s...
متن کامل[Vasoplegic syndrome and its treatment with vasopressin during cardiac surgery with cardiopulmonary bypass].
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. A few of these cases do not respond to volume or catecholamines. This condition is known as vasoplegic syndrome. Its etiology is not fully under...
متن کاملآیا با مخلوط چند داروی هوشبر وریدی می توان به پایداری همودینامیک در جراحی پیوند رگهای قلبی دست یافت؟
This study was about total intravenous anesthesia for coronary artery bypass graft. In this study Patient's: hemodynamic were stable. Hypothermia and rewarming during cardiopulmonary bypass were very smooth and ideal. Severe acid - base imbalance did not happened. It did not need excessive in&tropic and vasodilators. Generally, before, during and after cardiopulmonary bypass circulation, hemody...
متن کاملMethylene blue for refractory hypotension: a case report.
Methylene blue has multiple indications for use, but recently it has been shown to be useful in treating refractory hypotension. Anaphylaxis results in widespread vasodilation and hypotension. Epinephrine has been described as the drug of choice in the treatment of hypotension for anaphylaxis, but the increased heart rate may be poorly tolerated by some patients. This case report describes a 79...
متن کاملVasopressin in the cardiac surgery intensive care unit (July 2002:326-330).
Although nearly 10% of patients experience profound vasodilatory shock after cardiopulmonary bypass, some patients remain refractory to traditional resuscitation. Among this subset are patients who have inappropriately low levels of endogenous vasopressin. Thus, vasopressin replacement is an intuitively attractive intervention. The purposes of this review are to outline the pathophysiology of v...
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ورودعنوان ژورنال:
- The West Indian medical journal
دوره 56 6 شماره
صفحات -
تاریخ انتشار 2000