A Vasoplegic Syndrome Case - 997 Words

Vasoplegic syndrome is a severe vasodilatory shock characterised by hypotension, tachycardia, normal or elevated cardiac output, decrease in systemic vascular resistance, poor or no response to fluid resuscitation and vasopressor administration [1]. Though it is commonly seen during cardiac surgery, it is also been reported during non cardiac surgery [2,3]. The incidence of vasoplegic syndrome is 8-10% in cardiac surgery [4], and its risk factors include intravenous heparin, beta-blockers, calcium channel blockers, renin angiotensin system antagonists, protamine use, myocardial dysfunction, diabetes mellitus, presence of pre-cardiopulmonary bypass hemodynamic instability, increased duration of cardiopulmonary bypass and ventricular device insertion [5]. We present a case of successful management of vasoplegic syndrome the developed perioperatively following Whipple’s procedure. Report A 76yr old 52kg male, was schedule for Whipple’s procedure for carcinoma head of pancreas. He was a known hypertensive of enalapril and poorly controlled diabetic on insulin. His preoperative investigations were unremarkable except of elevated HbA1C. The proposed procedure was planned under general anaesthesia with thoracic epidural, for which the patient consented. After instituting appropriate monitoring thoracic epidural catheter was placed in T7-T8 interspace before induction of general anaesthesia. General anaesthesia was induced with fentanyl 2mcg. kg-1 and propofol 2mg.kg-1, andShow MoreRelatedA Case Report Of Probable Vasoplegic Syndrome1482 Words   |  6 Pageshypotension in prone position is a challenge to anaesthesiologists and more so if this hypotension is complicated by non responsiveness to conventional therapy. This non-responsiveness may be due to vasoplegic syndrome. We cite here a case report of probable vasoplegic syndrome in prone position. Case report: A 52 year old male patient weighing 70 Kg, diagnosed with D9-D11 ligamentum flavum hypertrophy with canal stenosis was posted for laminectomy in prone position. He was a known hypertensive andRead MoreThe Concept Of Critical Care Nursing3148 Words   |  13 Pagesintegrate these sophisticated technologies and interventions to deliver competent, evidence-based and holistic care to critically ill patients (Morton Fontaine, 2013). The aim of this written assignment is to present an Intensive Care Unit (ICU) case of Diltiazem Overdose (Deliberate self-Harm) who was admitted in a large metropolitan hospital in New Zealand (NZ). Care provided to Mr. Jack (pseudonym) will be discussed and evaluated, with main focus on the nursing care delivered which contributed