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