Septic Shock in Low-Cardiac-Output Patients With Heart and Lung Transplantation: Diagnosis and Management Dilemma

LOW-CARDIAC-OUTPUT SYNDROME (LCOS) commonly is encountered after heart, heart-lung, and lung transplantation. Several reasons can be ascribed to LCOS after thoracic organ transplantation, namely suboptimal donor, poor donor management, poor organ preservation, prolong ischemia time, high baseline pulmonary artery pressure in the recipient, old age, comorbid illnesses, and long cardiopulmonary bypass time.1 –6 LCOS prolongs the postoperative recovery, requires higher doses of inotropes, and compromises end-organ perfusion.

Source: Journal of Cardiothoracic and Vascular Anesthesia - January 13, 2017 Category: Anesthesiology Authors: Ajay Kumar Jha, Shrinivas Krisna Hittalmani Source Type: research