Severe anaphylactic shock: successful treatment with vasopressin

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  • アナフィラキシーショックによる心停止の一救命例

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Abstract

We report the case of a patient with severe anaphylactic shock that was successfully treated with vasopressin. A 55-year-old male patient, who was scheduled for esophagectomy, developed anaphylactic shock by the administration of corticosteroid and antibiotics after the induction of general anesthesia. His blood pressure gradually decreased, and cardiopulmonary resuscitation (CPR) was promptly initiated. Intravenous adrenaline (1 mg, 9 times) had no effect on cardiac arrest. After injection of 20 IU of vasopressin, spontaneous circulation was restored. Intra-aortic balloon pumping and percutaneous cardiopulmonary support (PCPS) were needed to stabilize the patient's hemodynamics. The patient's hemodynamic state and oxygenation gradually improved, and PCPS was terminated on the 4th postoperative day (POD) and extubated on the 8th POD. He showed no neurological deficit because of immediate initiation of CPR and PCPS.

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