Application of induced hypothermia in vasoplegia syndrome after postcardiopulmonary bypass
10.3760/cma.j.issn.1672-7088.2014.18.011
- VernacularTitle:降低体表温度在体外循环后血管麻痹综合征患者治疗中应用的效果评价
- Author:
Ying WANG
;
Wenzhou YU
- Publication Type:Journal Article
- Keywords:
Vasoplegia syndrome;
Cardiopulmonary bypass;
Cardiac surgery
- From:
Chinese Journal of Practical Nursing
2014;30(18):38-40
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of induced hypothermia in vasoplegia syndrome after post-cardiopulmonary bypass.Methods 4 individuals diagnosed as CPB-induced vasoplegia syndrome was given hypothermia by surface cooling using hypo-hyperthermia blanket based on vasopressors and adjustment of blood volume.The surface temperature,heart rate,systolic pressure,mean arterial blood pressure,central venous pressure,oxygen saturation of blood,urine volume,systemic vascular resistance (SVR),pulmonary vascular resistance (PVR) and cardiac output (CO) were recorded.Results Systemic vascular resistance gradually improved along with normalization of cardiac output,and increased mean arterial blood pressure.Conclusions The mild hypothermia can increase blood pressure,decrease dosage of vasopressors,and may play a decisive role in some cases.So mild hypothermia may be an effec-tive alternative to treat CPB-induced vasoplegia syndrome.
