questionsmedicales.fr
États, signes et symptômes pathologiques
Processus pathologiques
Complications postopératoires
Vasoplégie
Vasoplégie : Questions médicales fréquentes
Diagnostic
5
Vasoplégie
Hypotension
Évaluation clinique
Tests sanguins
Échographie
Pression artérielle
Hypotension
Signes cliniques
Étourdissements
Imagerie médicale
Anomalies vasculaires
Diagnostic clinique
Critères diagnostiques
Pression artérielle
Historique médical
Symptômes
5
Symptômes
Hypotension
Confusion mentale
Douleurs
Perfusion
Tissus
Variabilité des symptômes
Gravité
Causes sous-jacentes
Enfants
Agitation
Symptômes
Respiration
Hypoxie
Effets physiologiques
Prévention
5
Prévention
Hydratation
Maladies sous-jacentes
Mode de vie
Exercice
Risque
Médicaments
Consultation médicale
Effets secondaires
Alimentation
Pression artérielle
Équilibre nutritionnel
Examens réguliers
Détection précoce
Problèmes vasculaires
Traitements
5
Traitements
Fluides intraveineux
Vasopresseurs
Vasopresseurs
Pression artérielle
Vaisseaux sanguins
Fluides intraveineux
Déshydratation
Circulation sanguine
Traitements non médicamenteux
Circulation
Élévation des jambes
Rééducation
Fonction vasculaire
Récupération
Complications
5
Complications
Choc hypovolémique
Lésions organiques
Lésions cérébrales
Perfusion cérébrale
Conséquences
Risque de décès
Vasoplégie
Conséquences graves
Complications réversibles
Traitement rapide
Efficacité
Surveillance
Signes vitaux
Tests réguliers
Facteurs de risque
5
Facteurs de risque
Hypertension
Maladies cardiovasculaires
Âge
Risque
Dégradation vasculaire
Tabagisme
Vaisseaux sanguins
Risque
Stress
Pression artérielle
Aggravation
Prédispositions génétiques
Troubles vasculaires
Facteurs héréditaires
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"name": "Comment diagnostiquer la vasoplégie ?",
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{
"@type": "Question",
"name": "Quels tests sont utilisés pour la vasoplégie ?",
"position": 2,
"acceptedAnswer": {
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{
"@type": "Question",
"name": "Quels signes cliniques indiquent la vasoplégie ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les signes incluent une hypotension, des étourdissements et une peau pâle ou froide."
}
},
{
"@type": "Question",
"name": "La vasoplégie est-elle visible à l'imagerie ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'imagerie peut montrer des anomalies vasculaires, mais le diagnostic est principalement clinique."
}
},
{
"@type": "Question",
"name": "Quels critères sont utilisés pour le diagnostic ?",
"position": 5,
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"@type": "Answer",
"text": "Les critères incluent la pression artérielle, les symptômes et l'historique médical du patient."
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{
"@type": "Question",
"name": "Quels sont les symptômes de la vasoplégie ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent hypotension, vertiges, fatigue, et parfois confusion mentale."
}
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{
"@type": "Question",
"name": "La vasoplégie cause-t-elle des douleurs ?",
"position": 7,
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{
"@type": "Question",
"name": "Les symptômes varient-ils selon les patients ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les symptômes peuvent varier en fonction de la gravité et de la cause sous-jacente."
}
},
{
"@type": "Question",
"name": "Y a-t-il des symptômes spécifiques chez les enfants ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les enfants peuvent présenter des symptômes similaires, mais souvent avec une plus grande agitation."
}
},
{
"@type": "Question",
"name": "Comment la vasoplégie affecte-t-elle la respiration ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle peut entraîner une respiration rapide ou superficielle en raison d'une hypoxie."
}
},
{
"@type": "Question",
"name": "Comment prévenir la vasoplégie ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "La prévention inclut une hydratation adéquate et la gestion des maladies sous-jacentes."
}
},
{
"@type": "Question",
"name": "Les changements de mode de vie aident-ils ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un mode de vie sain, y compris l'exercice, peut réduire le risque de vasoplégie."
}
},
{
"@type": "Question",
"name": "Faut-il éviter certains médicaments ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certains médicaments peuvent aggraver la vasoplégie; consultez un médecin avant de les prendre."
}
},
{
"@type": "Question",
"name": "L'alimentation joue-t-elle un rôle ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une alimentation équilibrée peut aider à maintenir une pression artérielle stable."
}
},
{
"@type": "Question",
"name": "Les examens réguliers sont-ils importants ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des examens réguliers aident à détecter les problèmes vasculaires tôt."
}
},
{
"@type": "Question",
"name": "Quels traitements sont disponibles pour la vasoplégie ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements incluent des fluides intraveineux, des vasopresseurs et des médicaments spécifiques."
}
},
{
"@type": "Question",
"name": "Les vasopresseurs sont-ils efficaces ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les vasopresseurs aident à augmenter la pression artérielle en contractant les vaisseaux."
}
},
{
"@type": "Question",
"name": "Quand utiliser des fluides intraveineux ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Ils sont utilisés pour traiter la déshydratation et améliorer la circulation sanguine."
}
},
{
"@type": "Question",
"name": "Y a-t-il des traitements non médicamenteux ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des mesures comme l'élévation des jambes peuvent aider à améliorer la circulation."
}
},
{
"@type": "Question",
"name": "La rééducation est-elle nécessaire après un traitement ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la rééducation peut être nécessaire pour restaurer la fonction vasculaire et physique."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent un choc hypovolémique, des lésions organiques et des arythmies."
}
},
{
"@type": "Question",
"name": "La vasoplégie peut-elle entraîner des lésions cérébrales ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une perfusion cérébrale insuffisante peut causer des lésions cérébrales permanentes."
}
},
{
"@type": "Question",
"name": "Y a-t-il un risque de décès ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, si non traitée, la vasoplégie peut entraîner un risque accru de décès."
}
},
{
"@type": "Question",
"name": "Les complications sont-elles réversibles ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines complications peuvent être réversibles si traitées rapidement et efficacement."
}
},
{
"@type": "Question",
"name": "Comment surveiller les complications ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "La surveillance des signes vitaux et des tests réguliers sont essentiels pour détecter les complications."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque de vasoplégie ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'hypertension, le diabète, et des antécédents de maladies cardiovasculaires."
}
},
{
"@type": "Question",
"name": "L'âge influence-t-il le risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le risque de vasoplégie augmente avec l'âge en raison de la dégradation vasculaire."
}
},
{
"@type": "Question",
"name": "Le tabagisme est-il un facteur de risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le tabagisme endommage les vaisseaux sanguins et augmente le risque de vasoplégie."
}
},
{
"@type": "Question",
"name": "Le stress peut-il aggraver la vasoplégie ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le stress chronique peut affecter la pression artérielle et aggraver la vasoplégie."
}
},
{
"@type": "Question",
"name": "Y a-t-il des prédispositions génétiques ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines personnes peuvent avoir des prédispositions génétiques à des troubles vasculaires."
}
}
]
}
]
}
Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
Validation scientifique effectuée le 01/04/2026
Contenu vérifié selon les dernières recommandations médicales
4 publications dans cette catégorie
Affiliations :
Department of Critical Care, Department of Anesthesiology and Perioperative Medicine, Tufts Medical Center, Boston, MA.
Publications dans "Vasoplégie" :
3 publications dans cette catégorie
Affiliations :
Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Publications dans "Vasoplégie" :
3 publications dans cette catégorie
Affiliations :
Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA. Electronic address: aadalia@mgh.harvard.edu.
Publications dans "Vasoplégie" :
2 publications dans cette catégorie
Affiliations :
Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands. o.papazisi@lumc.nl.
Publications dans "Vasoplégie" :
2 publications dans cette catégorie
Affiliations :
Department of Anesthesiology and Critical Care Medicine, Amiens University Hospital, Amiens, France; MP3CV, EA7517, CURS, Jules Verne University of Picardie, Amiens, France.
Publications dans "Vasoplégie" :
2 publications dans cette catégorie
Affiliations :
Department of Anesthesiology and Critical Care Medicine, Amiens University Hospital, Amiens, France.
Publications dans "Vasoplégie" :
2 publications dans cette catégorie
Affiliations :
Department of Anesthesiology and Critical Care Medicine, Dijon University Hospital, Dijon, France. Electronic address: guinotpierregregoire@gmail.com.
Publications dans "Vasoplégie" :
2 publications dans cette catégorie
Affiliations :
Veterans Affairs Boston Healthcare System, Department of Anesthesia, Critical Care and Pain Medicine, and Tufts University School of Medicine, Boston, MA.
Publications dans "Vasoplégie" :
2 publications dans cette catégorie
Affiliations :
Pediatric Cardiology, Stanford University School of Medicine, Palo Alto, California, USA.
Publications dans "Vasoplégie" :
2 publications dans cette catégorie
Affiliations :
Department of Surgery and Anatomy, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil.
Publications dans "Vasoplégie" :
2 publications dans cette catégorie
Affiliations :
Department of Surgery and Anatomy, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil.
Department of Biological Sciences, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, São Paulo, Brazil.
Publications dans "Vasoplégie" :
2 publications dans cette catégorie
Affiliations :
Department of Cardiovascular Surgery, The Texas Heart Institute, Houston, Texas, USA.
Division of Trauma and Acute Care Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, USA.
Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, USA.
Publications dans "Vasoplégie" :
2 publications dans cette catégorie
Affiliations :
Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, the Netherlands.
Publications dans "Vasoplégie" :
2 publications dans cette catégorie
Affiliations :
Department of Cardiology, Leiden University Medical Center, Leiden, the Netherlands. Electronic address: s.l.m.a.beeres@lumc.nl.
Publications dans "Vasoplégie" :
2 publications dans cette catégorie
Affiliations :
Department of Anesthesiology, University Medical Centre Utrecht, Utrecht, the Netherlands.
Publications dans "Vasoplégie" :
1 publication dans cette catégorie
Affiliations :
Methodist DeBakey Heart & Vascular Center, Houston Methodist, Houston, Texas, US.
Publications dans "Vasoplégie" :
1 publication dans cette catégorie
Affiliations :
SUNY Upstate Medical University, Syracuse, New York, US.
Publications dans "Vasoplégie" :
1 publication dans cette catégorie
Affiliations :
Aga Khan University, Karachi, Pakistan.
Publications dans "Vasoplégie" :
1 publication dans cette catégorie
Affiliations :
Dow University of Health Sciences, Karachi, Pakistan.
Publications dans "Vasoplégie" :
1 publication dans cette catégorie
Affiliations :
Department of Pharmacy, Nebraska Medicine, Omaha, USA.
Publications dans "Vasoplégie" :
Vasoplegia is a condition characterized by persistent low systemic vascular resistance despite a normal or high cardiac index, resulting in profound and uncontrolled vasodilation. Vasoplegia may occur...
To determine whether intravenous vitamin C compared with placebo, reduces vasopressor requirements in patients with vasoplegic shock....
Double-blinded, randomised clinical trial (RCT) conducted in two intensive care units in Perth, Australia. Vasopressor requirements at enrolment needed to be >10 μg/min noradrenaline after hypovolaemi...
Of the 71 patients randomised (35 vitamin C, 36 placebo group), the median vasopressor duration was 44 h [95% CI, 37-54 h] and 55 h [95% CI, 33-66 h]) in the vitamin C and placebo groups (p = 0.057). ...
In this RCT of patients with vasoplegic shock of at least moderate severity, the use of IV vitamin C compared with placebo did not significantly reduce the duration of vasopressors....
Prospective registration - trial number ACTRN12617001392358....
The objective of this study was to describe the implementation and outcomes of a protocol outlining angiotensin-II utilization for vasoplegia following cardiac surgery....
This was a retrospective chart review at a single-center university hospital. Included patients received angiotensin-II for vasoplegia refractory to standard interventions, including norepinephrine 20...
30 patients received angiotensin-II for refractory vasoplegia. Adjunctive agents at angiotensin-II initiation included corticosteroids (26 patients; 87%), epinephrine (26 patients; 87%), dobutamine (1...
The administration of angiotensin-II to vasoplegic patients following cardiac surgery was associated with increased mean arterial pressure, reduced norepinephrine dosages, and reduced dobutamine dosag...
Vasoplegia, or vasoplegic shock, is a syndrome whose main characteristic is reducing blood pressure in the presence of a standard or high cardiac output. For the treatment, vasopressors are recommende...
This is a systematic review of the literature with meta-analysis, written according to the recommendations of the PRISMA report. The SCOPUS, PubMed, and ScienceDirect databases were used to select the...
In total, 2,090 articles were retrieved; after applying the inclusion and exclusion criteria, ten studies were selected to compose the present review. We found no significant difference when assessing...
Considering the outcomes included in our study, it is worth noting that most studies showed that using vasopressin was safe and can be considered in managing postoperative vasoplegic shock....
Vasoplegic shock after cardiac surgery is characterized by hypotension, a high cardiac output, and vasodilation. Much of the understanding of this pathologic state is informed by the understanding of ...
Norepinephrine (NE) is the first-line recommended vasopressor for restoring mean arterial pressure (MAP) in vasoplegic syndrome (vs) following cardiac surgery with cardiopulmonary bypass. However, sol...
The Norahpi trial is a prospective, open-label, single-centre study that randomises 142 patients. Inclusion criteria encompass adult patients scheduled for on-pump cardiac surgery with postsurgical NE...
Ethical approval has been secured from the Institutional Review Board (IRB) at the University Hospital of Amiens (IRB-ID:2023-A01058-37). The findings will be shared through peer-reviewed publications...
NCT05922982....
Hydroxocobalamin inhibits nitric oxide pathways contributing to vasoplegic shock in patients undergoing cardiopulmonary bypass (CPB). The objective of this study was to evaluate the effect of intraope...
This was a historic cohort study....
The study was conducted at a quaternary academic cardiovascular surgery program....
Adults undergoing cardiac surgery using CPB were participants in the study....
Hydroxocobalamin (5 g) intravenously over 15 minutes....
The treatment groups were assigned based on the receipt location of hydroxocobalamin (ie, intensive care unit [ICU] versus operating room [OR]). The primary outcome was vasopressor-free days in the fi...
A difference in vasopressor-free days after CPB was not found between patients who received hydroxocobalamin intraoperatively versus postoperatively for vasoplegic shock....
BACKGROUND Methylene blue has multiple uses in medicine. It is generally used to treat refractory vasoplegia and methemoglobin toxicity, and can be used as a dye to localize the parathyroid glands int...
Severe hypotension and low systemic vascular resistance in the setting of adequate cardiac output, known as "vasoplegic syndrome" (VS), is a physiologic disturbance reported in 9% to 44% of cardiac su...
Retrospective study of single and bilateral lung transplants from April 2013 to September 2021....
The study was conducted at an academic hospital....
Patients ≥18 years of age who underwent lung transplantation....
None....
The authors defined VS as mean arterial pressure <65 mmHg, cardiac index ≥2.2 L/min/m...
The incidence of VS in lung transplantation is comparable to that of cardiac surgery. Interestingly, male sex and cystic fibrosis are strong risk factors. Identifying lung transplant recipients at inc...
Refractory vasodilatory shock, or vasoplegia, is a pathophysiologic state observed in the intensive care unit and operating room in patients with a variety of primary diagnoses. Definitions of vasople...