• Anesthesia and analgesia · Jul 2002

    Case Reports

    Shy-Drager syndrome and severe unexplained intraoperative hypotension responsive to vasopressin.

    • Ricardo Vallejo, Gerard DeSouza, and Jong Lee.
    • Anesthesiology Department, Jackson Memorial Hospital/University of Miami, Florida, USA. rvallejo@partners.org
    • Anesth. Analg. 2002 Jul 1; 95 (1): 50-2, table of contents.

    ImplicationsWe describe the first case of Shy-Drager syndrome diagnosed on the basis of intraoperative hemodynamic changes. The initial hypertension in the supine position followed by severe hypotension after hydralazine administration, ultimately responsive to vasopressin, led to a diagnosis of Shy-Drager syndrome. We suggest that vasopressin may be the drug of choice in patients with Shy-Drager syndrome with refractory hypotension.

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