Cardiothoracic & vascular anesthesia

Incidence of Intraoperative Vasoplegic Syndrome in Lung Transplantation

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

The incidence of VS in lung transplantation is comparable to that of cardiac surgery. Interestingly, male sex and cystic fibrosis are strong risk factors.

Study context

Population
Adults (≥18 years) undergoing single or bilateral lung transplantation, April 2013 to September 2021
Outcome
Incidence of vasoplegic syndrome (MAP <65 mmHg, cardiac index ≥2.2 L/min/m², ≥30 minutes of vasopressor after organ reperfusion)
Methodological detailssingle-centre, academic hospital
  • Single-centre
  • Academic hospital

Main finding

As reported in the abstract

Incidence of VS

Incidence of vasoplegic syndrome (VS)

13.9%

CI 10.4%–18.4%

Observational data: associations, not effects.

Further findings

Factors independently associated with VS (multivariate logistic regression)

OR (CI)P value
Male sexMultivariate model2.85 (1.07–7.58)P = 0.04
Cystic fibrosisMultivariate model5.76 (1.43–23.09)P = 0.01

Original publication

Incidence of Intraoperative Vasoplegic Syndrome in Lung Transplantation. J Cardiothorac Vasc Anesth. Published 20 August 2023. doi:10.1053/j.jvca.2023.08.136

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