| Abstract | A patient with perforated appendicitis developed progressive vasodilatory shock which was complicated by perioperative acute myocardial infarction. Cardiovascular support included dopamine infusion, and later, intra-aortic balloon counterpulsation balloon pump and noradrenaline and dobutamine infusion. Vasopressin was introduced as a final attempt to reverse the refractory shock and was associated with recovery. The experience with this case suggests that vasopressin may be a valuable adjunct to the treatment of catecholamine-resistant vasodilatory shock. |
| Authors | T W Lim, S Lee, K S NG
(Affiliation: Department of Anaesthesia and Surgical Intensive Care, Changi General Hospital, Singapore.)
|
| Journal | Anaesthesia and intensive care
(Anaesth Intensive Care)
Vol. 28
Issue 3
Pg. 313-7
(Jun 2000)
ISSN: 0310-057X AUSTRALIA |
| PMID | 10853217
(Publication Type: Case Reports, Journal Article)
|
| Chemical References |
- Adrenergic alpha-Agonists
- Adrenergic beta-Agonists
- Cardiotonic Agents
- Vasoconstrictor Agents
- Vasopressins
- Dobutamine
- Norepinephrine
- Dopamine
|
| Topics |
- Adrenergic alpha-Agonists
(administration & dosage, therapeutic use)
- Adrenergic beta-Agonists
(administration & dosage, therapeutic use)
- Aged
- Appendicitis
(complications)
- Cardiotonic Agents
(therapeutic use)
- Dobutamine
(administration & dosage, therapeutic use)
- Dopamine
(therapeutic use)
- Humans
- Infusions, Intravenous
- Intestinal Perforation
(complications)
- Intra-Aortic Balloon Pumping
- Intraoperative Complications
- Male
- Myocardial Infarction
(complications)
- Norepinephrine
(administration & dosage, therapeutic use)
- Recovery of Function
- Shock
(drug therapy, etiology)
- Vasoconstrictor Agents
(therapeutic use)
- Vasodilation
(drug effects)
- Vasopressins
(therapeutic use)
|
