MORPHOLOGICAL BASIS OF VASCULAR DYSFUNCTION ASSOCIATED WITH VASOPRESSOR USE IN INTENSIVE CARE

Authors

  • Doniyor Azadbekovich Umarov Author
  • Masharibov D.B. Author

Abstract

Vasopressors (norepinephrine, vasopressin, phenylephrine, epinephrine) remain the cornerstone of maintaining perfusion of vital organs in septic, cardiogenic, and hypovolemic shock. However, prolonged or high-dose vasopressor therapy is frequently associated with the development of refractory vasoplegia, ischemia–reperfusion organ injury, and multiple organ dysfunction.

References

1. Islomov, R. I., & Raxmonov, J. A. (2020). Og‘ir sepsis va septik shokda vazopressor terapiyasining klinik va patofiziologik jihatlari. Anesteziologiya va Reanimatologiya Axborotnomasi, 2, 18–24.

2. Karimov, I. A., Tursunov, D. B., & Xudoyberdiyev, A. M. (2021). Kritik holatlarda mikrotsirkulyatsiya va tomir endoteliyining morfologik o‘zgarishlari. Tibbiyotda Zamonaviy Texnologiyalar, 4, 67–73.

3. De Backer, D., Biston, P., Devriendt, J., Madl, C., Chochrad, D., Aldecoa, C., … Vincent, J. L. (2010). Comparison of dopamine and norepinephrine in the treatment of shock. New England Journal of Medicine, 362(9), 779–789. https://doi.org/10.1056/NEJMoa0907118

4. Evans, L., Rhodes, A., Alhazzani, W., Antonelli, M., Coopersmith, C. M., French, C., … Levy, M. M. (2021). Surviving Sepsis Campaign: International guidelines for management of sepsis and septic shock 2021. Intensive Care Medicine, 47(11), 1181–1247. https://doi.org/10.1007/s00134-021-06506-y

5. Joffre, J., Hellman, J., Ince, C., & Ait-Oufella, H. (2020). Endothelial responses in sepsis. American Journal of Respiratory and Critical Care Medicine, 202(3), 361–370. https://doi.org/10.1164/rccm.201910-1911TR

Downloads

Published

2025-12-15