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Vasoplegic syndrome during Whipple procedure

Abstract 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 i...

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Published in:	Journal of clinical anesthesia 2017-02, Vol.36, p.151-152
Main Authors:	Anandaswamy, Tejesh C., MD, Rajappa, Geetha C., DNB, Krishnamachar, Harish, MCh
Format:	Article
Language:	English
Subjects:	Aged Anesthesia Anesthesia & Perioperative Care Anesthesia, General - methods Blood pressure Cardiac arrhythmia Diabetes Dopamine Heart rate Heart surgery Humans Hypotension - drug therapy Hypotension - etiology Male Nitric oxide Noncardiac surgery Pain Medicine Pancreatic Neoplasms - surgery Pancreaticoduodenectomy - adverse effects Patients Postoperative Care - methods Risk factors Smooth muscle Vasoconstrictor Agents - therapeutic use Vasoplegia - drug therapy Vasoplegia - etiology Vasoplegic syndrome Vasopressin Vasopressins - therapeutic use
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creator	Anandaswamy, Tejesh C., MD Rajappa, Geetha C., DNB Krishnamachar, Harish, MCh
description	Abstract 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.
doi_str_mv	10.1016/j.jclinane.2016.10.042
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subjects	Aged Anesthesia Anesthesia & Perioperative Care Anesthesia, General - methods Blood pressure Cardiac arrhythmia Diabetes Dopamine Heart rate Heart surgery Humans Hypotension - drug therapy Hypotension - etiology Male Nitric oxide Noncardiac surgery Pain Medicine Pancreatic Neoplasms - surgery Pancreaticoduodenectomy - adverse effects Patients Postoperative Care - methods Risk factors Smooth muscle Vasoconstrictor Agents - therapeutic use Vasoplegia - drug therapy Vasoplegia - etiology Vasoplegic syndrome Vasopressin Vasopressins - therapeutic use
title	Vasoplegic syndrome during Whipple procedure
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