title: Low-dose vasopressin infusion can be an alternative in treating patients with refractory septic shock combined with chronic pulmonary hypertension--a case report.
abstract: Septic shock is still the major cause of death in surgical intensive care unit. Fluid support, inotropic agents, and broad spectrum antibiotics are still the mainstay of traditional therapy. Here, we present a case of septic shock arising from gangrenous ischemic bowel, complicated by chronic pulmonary hypertension, which was refractory to catecholamine vasoprerssors. We successfully stabilized the hemodynamics and reduce the pulmonary hypertension with low-dose vasopressin infusion.
authors.affiliation: Department of Anesthesiology, Tri-Service General Hospital, National Defense Medical Center, No. 325, Section 2, Chenggung Road, Neihu 114, Taipei, Taiwan, R.O.C.
authors.forename: Hung-Jui
authors.initials: HJ
authors.lastname: Wang
authors.forename: Chih-Shung
authors.initials: CS
authors.lastname: Wong
authors.forename: Chin-Yuan
authors.initials: CY
authors.lastname: Chiang
authors.forename: Chun-Chang
authors.initials: CC
authors.lastname: Yeh
authors.forename: Chen-Hwan
authors.initials: CH
authors.lastname: Cherng
authors.forename: Shung-Tai
authors.initials: ST
authors.lastname: Ho
authors.forename: Ching-Tang
authors.initials: CT
authors.lastname: Wu
mesh_terms: D000368:Aged; D002908:Chronic Disease; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications* / Q000188:drug therapy; D007262:Infusions, Intravenous; D012772:Shock, Septic / Q000188:drug therapy*; D014662:Vasoconstrictor Agents / Q000008:administration & dosage*; D014667:Vasopressins / Q000008:administration & dosage*
chemical_list: D014662:Vasoconstrictor Agents; D014667:Vasopressins