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

✍ Scribed by M. P. Shelly; R. Greatorex; R. Y. Calne; G. R. Park

• Book ID: 104690603
• Publisher: Springer
• Year: 1988
• Tongue: English
• Weight: 507 KB
• Volume: 14
• Category: Article
• ISSN: 1432-1238
• DOI: 10.1007/bf00263525

✦ Synopsis

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.