Severe anaphylactic shock: successful treatment with vasopressin
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- Yamamura Hitoshi
- Department of Critical Care Medicine, Osaka City University Hospital
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- Takahashi Makoto
- Department of Critical Care Medicine, Osaka City University Hospital
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- Nakamura Mitsuyo
- Department of Critical Care Medicine, Osaka City University Hospital
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- Mizobata Yasumitsu
- Department of Critical Care Medicine, Osaka City University Hospital
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- Nishizawa Satoshi
- Gastrointestinal Surgery, Osaka City University Hospital
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- Lee Shigeru
- Gastrointestinal Surgery, Osaka City University Hospital
Bibliographic Information
- Other Title
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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.
Journal
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- Journal of the Japanese Society of Intensive Care Medicine
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Journal of the Japanese Society of Intensive Care Medicine 18 (1), 63-66, 2011
The Japanese Society of Intensive Care Medicine
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Details 詳細情報について
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- CRID
- 1390282679422428416
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- NII Article ID
- 10029382942
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- NII Book ID
- AN10474053
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- ISSN
- 1882966X
- 13407988
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed