• Critical care clinics · Apr 2019

    Review

    Vasopressin in Vasodilatory Shock.

    • Ida-Fong Ukor and Keith R Walley.
    • Division of Critical Care Medicine, Centre for Heart Lung Innovation, University of British Columbia, 1081 Burrard Street, Vancouver, British Columbia V6Z 1Y6, Canada.
    • Crit Care Clin. 2019 Apr 1; 35 (2): 247-261.

    AbstractVasodilatory shock is the final common pathway for all forms of severe shock, with sepsis the most common primary etiology and the leading cause of critical illness-related mortality. The pathophysiology of this condition remains incompletely elucidated. Deficiency of the neuropeptide hormone vasopressin seems to play a significant role. The physiology of vasopressin and its interaction with the pathophysiology of vasodilatory shock are described in this review. A brief review of the major randomized controlled trials assessing the efficacy and safety of vasopressin and its analogs in this complex patient cohort is also provided.Copyright © 2018 Elsevier Inc. All rights reserved.

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