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- Claire Ragot, Edouard Gerbaud, and Alexandre Boyer.
- Service de Réanimation Médicale, CHU Bordeaux, Bordeaux, France.
- Am J Emerg Med. 2017 Jul 1; 35 (7): 1032.e1-1032.e2.
AbstractPoisoning caused by calcium-channels blockers (CCB) can cause refractory vasoplegic shock, resulting in multiple-organ failure and death despite maximal therapy including high doses of vasopressors. We report one CCB-induced refractory shock complicated with lactate acidosis despite very high doses of epinephrine and norepinephrine. The hemodynamic status of the patient dramatically improved after intermittent boluses of terlipressin, which corrected the acidosis.Copyright © 2017 Elsevier Inc. All rights reserved.
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