Clinical approach to vasoplegia in the transplant patient from the Pediatric Heart Transplant Society. (14th November 2022)

• Record Type: Journal Article
• Authors: Desphpande, Shriprasad R.; Bearl, David W.; Eghtesady, Pirooz; Henderson, Heather T.; Auerbach, Scott; Jeewa, Aamir; Bansal, Neha; Amdani, Shahnawaz; Richmond, Marc E.; Sacks, Loren D.; Shih, Renata; Townsend, Madeleine; Conway, Jennifer
• Other Names: Dipchand Anne guestEditor.
• Is Part Of: Pediatric transplantation. Volume 26:Number 8(2022)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2022-11-14
• Subjects: pediatric heart transplant -- post‐operative -- vasoplegia; Transplantation of organs, tissues, etc. in children -- Periodicals; 617.95408305
• DOI: 10.1111/petr.14392
• Languages: English
• ISSNs: 1397-3142

Abstract

Abstract: This manuscript outlines a clinical approach to vasoplegia incorporating the current state of knowledge regarding vasoplegia in pediatric patients immediately post‐transplant and to identify modifiable factors both pre‐ and post‐transplant that may reduce post‐operative morbidity, end‐organ dysfunction, and mortality. Centers participating in the Pediatric Heart Transplant Society (PHTS) were asked to provide their internal protocols and rationale for vasoplegia management, and applicable adult and pediatric data were reviewed. The authors synthesized the above protocols and literature into the following description of clinical approaches to vasoplegia highlighting areas of both broad consensus and of significant practice variation.