caa a22 4500 467908591 CHVBK 20180406152842.0 cr unu---uuuuu 170328e20060301xx s 000 0 eng 10.1007/s00101-005-0958-3 doi (NATIONALLICENCE)springer-10.1007/s00101-005-0958-3 Vasopressin as adjunct vasopressor for vasodilatory shock due to non-occlusive mesenteric ischemia [Elektronische Daten] [G. Luckner, S. Jochberger, V. Mayr, H. Knotzer, W. Pajk, V. Wenzel, B. Friesenecker, I. Lorenz, M. Dünser] Vasopressin als zusätzlicher Vasopressor bei vasodilatorischem Schock aufgrund einer nichtokklusiven mesenterialen Ischämie We present the case of an 83-year-old patient who underwent cardiac surgery and developed postoperative non-occlusive mesenteric ischemia (NOMI), which was treated with a local intra-arterial papaverine and prostaglandin E1 infusion. After successful mesenteric reperfusion, a multiple organ dysfunction syndrome with severe cardiovascular failure developed. High norepinephrine dosages (1.09µg/kg body weight/min) and catecholamine-related complications (tachycardiac atrial fibrillation) required initiation of supplementary argininevasopressin (AVP) infusion (4U/h). AVP stabilized vasodilatory shock, ensured adequate gut perfusion pressure and had no adverse clinical or angiographic effects on restitution of gut integrity. In conclusion, after reperfusion of NOMI in this patient, adjunct AVP therapy combined with local vasodilator infusion was beneficial as a potentially life-saving vasopressor. Springer Medizin Verlag, 2005 Argininevasopressin infusion nationallicence Non-occlusive mesenteric ischemia nationallicence Vasodilatory shock nationallicence Norepinephrine nationallicence Multiple organ dysfunction syndrome nationallicence Arginin-Vasopressin-Infusion nationallicence Nichtokklusive Darmischämie nationallicence Vasodilatorischer Schock nationallicence Noradrenalin nationallicence Multiorgandysfunktionssyndrom nationallicence Luckner G. Department of Anaesthesiology and Critical Care Medicine, Innsbruck Medical University, Austria aut Jochberger S. Department of Anaesthesiology and Critical Care Medicine, Innsbruck Medical University, Austria aut Mayr V. Department of Anaesthesiology and Critical Care Medicine, Innsbruck Medical University, Austria aut Knotzer H. Department of Anaesthesiology and Critical Care Medicine, Innsbruck Medical University, Austria aut Pajk W. Department of Anaesthesiology and Critical Care Medicine, Innsbruck Medical University, Austria aut Wenzel V. Department of Anaesthesiology and Critical Care Medicine, Innsbruck Medical University, Austria aut Friesenecker B. Department of Anaesthesiology and Critical Care Medicine, Innsbruck Medical University, Austria aut Lorenz I. Department of Anaesthesiology and Critical Care Medicine, Innsbruck Medical University, Austria aut Dünser M. Department of Anaesthesiology and Critical Care Medicine, Innsbruck Medical University, Austria aut https://doi.org/10.1007/s00101-005-0958-3 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00101-005-0958-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Luckner G. Department of Anaesthesiology and Critical Care Medicine, Innsbruck Medical University, Austria aut NATIONALLICENCE 700 1- Jochberger S. Department of Anaesthesiology and Critical Care Medicine, Innsbruck Medical University, Austria aut NATIONALLICENCE 700 1- Mayr V. Department of Anaesthesiology and Critical Care Medicine, Innsbruck Medical University, Austria aut NATIONALLICENCE 700 1- Knotzer H. Department of Anaesthesiology and Critical Care Medicine, Innsbruck Medical University, Austria aut NATIONALLICENCE 700 1- Pajk W. Department of Anaesthesiology and Critical Care Medicine, Innsbruck Medical University, Austria aut NATIONALLICENCE 700 1- Wenzel V. Department of Anaesthesiology and Critical Care Medicine, Innsbruck Medical University, Austria aut NATIONALLICENCE 700 1- Friesenecker B. Department of Anaesthesiology and Critical Care Medicine, Innsbruck Medical University, Austria aut NATIONALLICENCE 700 1- Lorenz I. Department of Anaesthesiology and Critical Care Medicine, Innsbruck Medical University, Austria aut NATIONALLICENCE 700 1- Dünser M. Department of Anaesthesiology and Critical Care Medicine, Innsbruck Medical University, Austria aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer