Vasoplegic syndrome during Whipple procedure.
Vasoplegic syndrome is an unusual cause of refractory hypotension under general anesthesia. It is commonly described in the setting of cardiac surgery, but rarely seen in noncardiac setting. We describe successful management of vasoplegic syndrome during Whipple procedure with vasopressin infusion. A high index of suspicion and prompt treatment with vasopressin can be lifesaving in patients with risk factors for vasoplegic syndrome who present with severe refractory hypotension and who respond poorly to fluid administration and routine vasopressor infusion.
Department of Anaesthesiology, MS Ramaiah Medical College and Hospitals, Bangalore, India. Electronic address: drtejeshca@yahoo.com.
Tejesh C
TC
Anandaswamy
Department of Anaesthesiology, MS Ramaiah Medical College and Hospitals, Bangalore, India.
Geetha C
GC
Rajappa
Department of Surgical Oncology, MS Ramaiah Medical College and Hospitals, Bangalore, India.
Harish
H
Krishnamachar
D000368:Aged; D000768:Anesthesia, General / Q000379:methods; D006801:Humans; D007022:Hypotension / Q000188:drug therapy / Q000209:etiology; D008297:Male; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000009:adverse effects*; D011182:Postoperative Care / Q000379:methods; D014662:Vasoconstrictor Agents / Q000627:therapeutic use; D056987:Vasoplegia / Q000188:drug therapy / Q000209:etiology*; D014667:Vasopressins / Q000627:therapeutic use
D014662:Vasoconstrictor Agents; D014667:Vasopressins
Noncardiac surgery; Vasoplegic syndrome; Vasopressin