Employing vasopressin as an adjunct vasopressor in uncontrolled traumatic hemorrhagic shock. Three cases and a brief analysis of the literature

Autor:	A C, Krismer, V, Wenzel, W G, Voelckel, P, Innerhofer, K H, Stadlbauer, T, Haas, M, Pavlic, H J, Sparr, K H, Lindner, A, Koenigsrainer
Rok vydání:	2004
Předmět:	Adult Male Vasopressins Multiple Organ Failure Accidents Traffic Abdominal Injuries Wounds Stab Shock Hemorrhagic Cardiopulmonary Resuscitation Heart Arrest Humans Vasoconstrictor Agents Wounds and Injuries Accidental Falls Female Aged
Zdroj:	Der Anaesthesist. 54(3)
ISSN:	0003-2417
Popis:	Resuscitation of patients in hemorrhagic shock remains one of the most challenging aspects of trauma care. We showed in experimental studies that vasopressin, but not fluid resuscitation, enabled short-term and long-term survival in a porcine model of uncontrolled hemorrhagic shock after penetrating liver trauma. In this case report, we present two cases with temporarily successful cardiopulmonary resuscitation (CPR) using vasopressin and catecholamines in uncontrolled hemorrhagic shock with subsequent cardiac arrest that was refractory to catecholamines and fluid replacement. In a third patient, an infusion of vasopressin was started before cardiac arrest occurred; in this case, we were able to stabilize blood pressure thus allowing further therapy. The patient underwent multiple surgical procedures, developed multi-organ failure, but was finally discharged from the critical care unit without neurological damage.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::bcfd502514d4a1870e4ef2c3012074ab https://pubmed.ncbi.nlm.nih.gov/15843908 Zobrazit plný text záznamu Full text from SpringerLink