Terlipressin as rescue treatment of refractory shock in a neonate

作者: Luca Filippi , Chiara Poggi , Lisa Serafini , Patrizio Fiorini

DOI: 10.1111/J.1651-2227.2008.00681.X

关键词: Refractory hypotensionSystemic inflammatory response syndromeSeptic shockAnesthesiaShock (circulatory)InotropePopulationRefractoryTerlipressinMedicine

摘要: UNLABELLED Patients with septic shock may develop refractory hypotension despite maximal inotropic support impairment of clinical outcome. Terlipressin, a long-acting vasopressin analogue, is reported to be effective as rescue treatment in adult and paediatric patients, while experience neonates definitely scarce. We report neonate systemic inflammatory response syndrome after surgery for abdominal neuroblastoma who received terlipressin failure volume load catecholamines. Terlipressin promptly reversed improved tissue perfusion without adverse effects. CONCLUSION appears an patients vasodilatory shock. Further studies are required assess its efficacy safety neonatal population.

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