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BRIEF REPORT
Year : 2015  |  Volume : 2  |  Issue : 2  |  Page : 139-141

Vasoplegic syndrome: A challenge to anaesthetic management


1 Department of Neuroanaesthesiology, All India Institute of Medical Sciences, New Delhi, India
2 Department of Cardiac Anaesthesiology, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Dr. Gyaninder P Singh
Department of Neuroanaesthesiology, Room No. 711, 7th Floor, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2348-0548.155467

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Perioperative hypotension is a well-recognized and relatively common problem during surgery. Vasoplegic syndrome is one such condition which is characterized by severe persistent hypotension with normal to high cardiac output and low systemic resistance. It is commonly seen in patients undergoing cardiac surgery on cardiopulmonary bypass. However, this syndrome has also been reported in off pump surgeries. Management of intraoperative hypotension may be challenging for an anaesthesiologist, if it does not respond or poorly respond to conventional therapy. We report the management of a hypertensive patient posted for spine surgery in prone position, who developed severe hypotension under anaesthesia refractory to treatment.


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