Vasoplegic Syndrome of Cardiac Surgery
Conditions
Keywords
vasoplegicsyndrome, cardiac surgery, predictive risk score
Brief summary
Vasoplasmic syndrome in cardiac surgery is one of the major postoperative complications.This syndrome is characterized by persistent low blood pressure despite an optimization of preload and inotropism.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* All patients undergoing cardiac surgery with extracorporeal circulation * Patients covered by a social insurance system. * Patients who have given oral consent to participate after full information
Exclusion criteria
* Cardiac graft. * Preoperative ECMO / ECLS. * Cardiac assistance. * Minor, * Patient deprived of liberty, or under safeguard of justice.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Vasoplegic syndrome | 30 days | Patients suffering of vasoplegic syndrom defined by persitent arterial hypotension (MAP below70 mmHg) despite fluid rescucitation, normal or high cardiac output, and treated more than 4 hours with norepinephrine |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Post operative organ failure | 30 days | every post opertaive organ failure: brain, digestive, renal, cardiac... |
| Arrythmia | 30 days | atrial fibrillation, ventricular tachycardia, ventricular flutter |
| Inotropic use | 30 days | dobutamine, levosimendan, phosphodiesterase |
| cardiac damage | 1 day | troponine I release |
| Post operative Sepsis | 30 days | postoperative sepsis: pneumonae, blood stream, mediastinis, urinary track, other |
| Hemorrhage | 30 days | postopertaive blood loss defined by the Universal definition of perioperative bleeding |
| Blood transfusion | 30 days | red blood cell transfusion, plaquette, plasma |
| ICU stays | 30 days | Stay at ICU until patient discharge |
| Hospital stays | 30 days | hospital stays until patient discharge |
| Death | one year | Death of any cause |
Countries
France
Contacts
guinot.pierregregoire@chu-amiens.fr
CHU STRASBOURG
Hospices Civils de Lyon
University Hospital, Caen
CHU DIJON
APHP, Paris
University Hospital, Rouen