The physiological effects of vasopressin when used to control intra-abdominal bleeding - PubMed (original) (raw)

The physiological effects of vasopressin when used to control intra-abdominal bleeding

M P Shelly et al. Intensive Care Med. 1988.

Abstract

Vasopressin was used in ten critically ill patients with massive intra-abdominal bleeding unresponsive to conventional therapy. Vasopressin controlled bleeding in four patients, three of whom had continued to bleed following laparotomy for haemostasis; in two other patients, bleeding was reduced. All the patients were intensively monitored throughout the period of the vasopressin treatment; this enabled other physiological effects of vasopressin to be documented and reported. Mean arterial pressure and central venous pressure increased following the administration of vasopressin and there was a decrease in heart rate. Core body temperature rose significantly. Although all the patients had impaired renal function before receiving vasopressin, five had a prompt diuresis following its administration. Eight patients died but only three of intra-abdominal bleeding; two patients survived to leave hospital. Four patients had post-mortem evidence of ischaemia in the heart, liver and gastrointestinal tract; vasopressin may have contributed to the development of this. Vasopressin may have a place in the management of patients with life-threatening intra-abdominal haemorrhage but its use should be confined to those patients in whom conventional therapy has failed.

PubMed Disclaimer

Similar articles

Cited by

References

    1. Surg Gynecol Obstet. 1962 Apr;114:458-62 - PubMed
    1. Br J Anaesth. 1987 Jun;59(6):800-5 - PubMed
    1. Surgery. 1956 Jun;39(6):917-25 - PubMed
    1. Fed Proc. 1983 Apr;42(6):1678-84 - PubMed
    1. Lancet. 1960 Jul 30;2(7144):222-5 - PubMed

MeSH terms

Substances

LinkOut - more resources