A patient undergoing excision of phaeochromocytoma developed refractory hypotension which was complicated by significant intraoperative blood loss. Cardiovascular support with fluids, blood and noradrenaline failed to reverse the hypotension. Introduction of vasopressin successfully reversed the hypotension. The experience with this case suggests that vasopressin may be a useful adjunct in the treatment of catecholamine-resistant hypotension after phaeochromocytoma excision.
PeterJ.T., MichaelB eds. The Bart's Endocrine Protocols.Churchill Livingston1995; 126–129.
7.
ParadisN.A.Epinephrine in cardiac arrest: a critical review.Ann Emerg Med1990; 19: 1288–1301.
8.
SungJ.J.Y.Acute gastrointestinal bleeding. In: TE Oh. Intensive Care Manual, 4th Ed.Butterworth Heinemann1996; 332.
9.
Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.Part 6: Advanced cardiovascular life support: section 1: Introduction to ACLS 2000: overview of recommended changes in ACLS from the guidelines 2000 conference. The American Heart Association in collaboration with the International Liaison Committee on Resuscitation.Circulation2000; 102(8 Suppl): 186–189.
10.
MoralesD., MadiganJ., CullinaneS.. Reversal by vasopressin of intractable hypotension in the late phase of hemorrhagic shock.Circulation1999; 100: 226–229.
11.
DunserM.W., MayrA.J., UlmerH.. The effects of vaso-pressin on systemic hemodynamics in catecholamine-resistant septic and postcardiotomy shock: a retrospective analysis.Anesth Analg2001; 93: 7–13.
12.
HiremathA.N., HuZ.W., HoffmanB.B.Desensitization of alpha-adrenergic receptor-mediated smooth muscle contraction: role of the endothelium.J Cardio Pharm1991; 18: 151–157.