Arginine vasopressin to manage hypoxemic infants after stage I palliation of single ventricle lesions

@article{Mastropietro2008ArginineVT,
  title={Arginine vasopressin to manage hypoxemic infants after stage I palliation of single ventricle lesions},
  author={Christopher W Mastropietro and Jeff A. Clark and Ralph E. Delius and Henry Lane Walters and Ashok P. Sarnaik},
  journal={Pediatric Critical Care Medicine},
  year={2008},
  volume={9},
  pages={506-510}
}
Objective: Management of patients with single ventricle physiology following stage I palliation procedures is often challenging, with optimization of the ratio of pulmonary-to-systemic blood flow as an important goal. Persistent hypoxemia may be a manifestation of elevated pulmonary vascular resistance and therefore decreased blood flow to the lungs. In such situations, the use of arginine vasopressin to increase systemic vascular resistance may be an effective strategy to improve pulmonary… Expand
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TLDR
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TLDR
Arginine vasopressin therapy led to haemodynamic improvement in only half of the children in this study, and improvement was more likely to occur if arginine Vasoppressin was initiated after the post-operative night. Expand
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TLDR
Low dose of vasopressin administration was associated with great and timely hemodynamic improvement for pediatric patients with vasodilatory shock after cardiac surgery without any significant adverse effects. Expand
Hyponatremia During Arginine Vasopressin Therapy in Children Following Cardiac Surgery
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  • Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
  • 2013
TLDR
Clinicians should be aware of this association, monitor serum sodium values closely, and consider providing less free water to these patients before hyponatremia occurs, which occurred in nearly half of the infants and children receiving arginine vasopressin therapy in this study. Expand
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  • Medicine
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  • 2010
TLDR
In patients with suspected pulmonary vascular disease anticipating a two-ventricle repair, although preoperative testing via cardiac catheterization with vasodilators is reasonable, the precise values of these parameters that best correlate with early and late outcome remain unclear, and optimization of their management in the preoperative and postoperative period is recommended. Expand
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TLDR
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TLDR
Vasopressin infusions appear to statistically significantly increase systolic blood pressure in children with congenital heart disease who have a biventricular but not functionally univentricul circulation, and even when an increase in systolics blood pressure is present, systemic oxygen delivery did not improve. Expand
Vasoactive–inotropic score as a predictor of morbidity and mortality in infants after cardiopulmonary bypass*
  • M. Gaies, J. Gurney, +5 authors J. Hirsch
  • Medicine
  • Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
  • 2010
TLDR
The usefulness of vasoactive–inotropic score as an independent predictor of clinical outcome in infants after cardiac surgery may have important implications for future cardiothoracic intensive care unit research. Expand
The use of Arginine Vasopressin in neonates following the Norwood procedure
TLDR
The initiation of Arginine Vasopressin in post-operative Norwood patients was temporally associated with an improvement in markers of perfusion including systolic blood pressure, urine output, lactate, and pH. Expand
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