TY - JOUR T1 - Clinical management of postcardiotomy shock in adults JO - Medicina Intensiva (English Edition) T2 - AU - Pérez Vela,J.L. AU - Llanos Jorge,C. AU - Duerto Álvarez,J. AU - Jiménez Rivera,J.J. SN - 21735727 M3 - 10.1016/j.medine.2022.04.014 DO - 10.1016/j.medine.2022.04.014 UR - https://www.medintensiva.org/en-clinical-management-postcardiotomy-shock-in-articulo-S217357272200087X AB - Postcardiotomy cardiogenic shock represents the most serious expression of low cardiac output syndrome after cardiac surgery. Although infrequent, it is a relevant condition due to its specific and complex pathophysiology and important morbidity-mortality. The diagnosis requires a high index of suspicion and multimodal hemodynamic monitoring, where echocardiography and the pulmonary arterial catheter play a main role. Early and multidisciplinary management should focus on the management of postoperative or mechanical complications and the optimization of determinants of cardiac output through fluid therapy or diuretic treatments, inotropic drugs and vasopressors/vasodilators and, in the absence of a response, early mechanical circulatory support. The aim of this paper is to review and update the pathophysiology, diagnosis and management of postcardiotomy cardiogenic shock. ER -