Abstract | OBJECTIVE: DESIGN AND SETTING: This study was based on case reports in the intensive care unit of a general hospital. PATIENTS: INTERVENTIONS: A low dose of Terlipressin (3.5 microg/kg) by intravenous bolus was added to the standard treatment. MEASUREMENT AND RESULTS: In both cases, Terlipressin induced a rapid improvement in arterial pressure with a consequent increase in urine output and the appearance of diabetes insipidus. In 1 patient it allowed for the withdrawal of norepinephrine infusion. No related adverse effects were detected in either patient. Organ removal was not possible in the second case due to lack of family consent. CONCLUSIONS:
Terlipressin might be considered as a rescue therapy for potential organ donors with intractable, catecholamine-resistant hypotension. In spite of the positive results obtained here and by other authors in the treatment of septic shock, its judicious use is recommended, and an optimal administration schedule must still be elucidated.
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Authors | P Vecchiarelli, F Ricci, T Riccini |
Journal | Transplantation proceedings
(Transplant Proc)
2010 Jan-Feb
Vol. 42
Issue 1
Pg. 203-5
ISSN: 1873-2623 [Electronic] United States |
PMID | 20172313
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Vasoconstrictor Agents
- Lypressin
- Terlipressin
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Topics |
- Adult
- Aged
- Anuria
- Blood Pressure
(drug effects)
- Brain Death
- Cerebral Hemorrhage
- Diuresis
(drug effects)
- Hepatectomy
- Humans
- Hypotension
(drug therapy)
- Kidney Transplantation
(physiology)
- Liver Transplantation
(physiology)
- Lypressin
(analogs & derivatives, therapeutic use)
- Nephrectomy
- Terlipressin
- Tissue Donors
- Vasoconstrictor Agents
(therapeutic use)
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