Year : 2009  |  Volume : 12  |  Issue : 1  |  Page : 49--52

Induced mild hypothermia in post-cardiopulmonary bypass vasoplegia syndrome


Mukesh Tripathi, Prabhat Kumar Singh, Naresh Kumar, Kailash Chandra Pant 
 Department of Anaesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India

Correspondence Address:
Mukesh Tripathi
Department of Anaesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow - 226 014
India

The state of vasoplegia in immediate post-cardiopulmonary bypass period is characterized by severe hypotension, supranormal cardiac output, low systemic vascular resistance (SVR), and resistance to vasoconstrictors. We could successfully use induced mild hypothermia to increase SVR, and could avoid very high doses of nor-epinephrine (>0.3 mcg/kg/min) in the background of severe pulmonary hypertension (systolic pulmonary pressure >90mmHg). Its effects such as decreased oxygen demand, positive inotropy and better right ventricle performance probably helped to improve oxygenation in presence of pulmonary oedema.


How to cite this article:
Tripathi M, Singh PK, Kumar N, Pant KC. Induced mild hypothermia in post-cardiopulmonary bypass vasoplegia syndrome.Ann Card Anaesth 2009;12:49-52


How to cite this URL:
Tripathi M, Singh PK, Kumar N, Pant KC. Induced mild hypothermia in post-cardiopulmonary bypass vasoplegia syndrome. Ann Card Anaesth [serial online] 2009 [cited 2019 Dec 14 ];12:49-52
Available from: http://www.annals.in/article.asp?issn=0971-9784;year=2009;volume=12;issue=1;spage=49;epage=52;aulast=Tripathi;type=0