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Case Reports
. 2018 Oct 1;11(7):175-180.
doi: 10.1213/XAA.0000000000000775.

When All Else Fails: Novel Use of Angiotensin II for Vasodilatory Shock: A Case Report

Jonathan H Chow  1 , Samuel M Galvagno Jr  1 , Kenichi A Tanaka  2 , Michael A Mazzeffi  2 , Zackary Chancer  1 , Reney Henderson  2 , Michael T McCurdy  3
Affiliations
Case Reports

When All Else Fails: Novel Use of Angiotensin II for Vasodilatory Shock: A Case Report

Jonathan H Chow et al. A A Pract. .

Abstract

Angiotensin (AT) II is an endogenous hormone that acts on venous and arterial smooth muscle to cause vasoconstriction. Recent trials have sparked great interest in its ability to be used as a vasopressor for catecholamine-refractory hypotension. Herein, we describe the successful use of AT II in a patient with a colonic perforation with septic shock refractory to conventional treatment. After AT II initiation, there was an immediate reduction in catecholamine requirement, and the patient survived.

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References

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