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Vasodilatory shock after surgery for aortic valve endocarditis: use of low-dose vasopressin.

Authors
Type
Published Article
Journal
Pediatric Cardiology
0172-0643
Publisher
Springer-Verlag
Publication Date
Volume
25
Issue
5
Pages
558–561
Identifiers
PMID: 15185046
Source
Medline

Abstract

This is the case report of a 13-year-old male who developed vasopressor-resistant hypotension after cardiac surgery for endocarditis. As norepinephrine resulted in aggravation of the preexisting ventricular arrhythmia, vasopressin was used to maintain blood pressure. The vasopressin continuous infusion was started at 0.00002 units/kg/min and titrated up to 0.0003 U/kg/min. This low dose led to resolution of hypotension without causing side effects. As the appropriate indication and dose of vasopressin is not established, the cautious use of vasopressin in children is recommended.

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