The use of vasopressin to treat catecholamine-resistant hypotension after phaeochromocytoma removal.
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.
Department of Anaesthesia and Surgical Intensive Care, Changi General Hospital, Singapore, Singapore.
S G
SG
Tan
C K
CK
Koay
S T
ST
Chan
D000310:Adrenal Gland Neoplasms / Q000601:surgery*; D000368:Aged; D006801:Humans; D007022:Hypotension / Q000188:drug therapy* / Q000209:etiology; D007431:Intraoperative Complications / Q000188:drug therapy; D008297:Male; D009638:Norepinephrine / Q000627:therapeutic use; D010673:Pheochromocytoma / Q000601:surgery*; D011183:Postoperative Complications / Q000188:drug therapy; D014662:Vasoconstrictor Agents / Q000627:therapeutic use*; D014667:Vasopressins / Q000627:therapeutic use*
D014662:Vasoconstrictor Agents; D014667:Vasopressins; D009638:Norepinephrine