Interventions to reduce haemorrhage during myomectomy for fibroids

Kongnyuy, Eugene J; Wiysonge, Charles Shey

doi:10.1002/14651858.cd005355.pub2

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Cited by 27 publications

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“…Few case reports suggest that to minimize blood loss vasopressin is commonly used as a haemostatic agent. [5][6][7][8][9][10]…”

Section: Discussionmentioning

confidence: 99%

A case report of vasopressin induced bradycardia and dyspnea after intramyometrial injection during myomectomy

Bokka¹,

Vadhanan²,

Megha³

et al. 2020

IJCA

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Injecting vasopressin intramyometrially reduces bleeding during myomectomy. It is challenging to the anesthesiologist in view of its side effects. Low concentrations of vasopressin has been considered to be safe, but sometimes it can lead to undesirable effects such as bradycardia with loss of peripheral pulse, non recordable blood pressure further leading to cardiac arrest. We report a case history of a patient who had developed bradycardia and dyspnea along with loss of peripheral pulse after local infiltration of 5 unit of vasopressin (20units diluted in 100ml NS), patient was revived by successful resuscitation.

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“…Few case reports suggest that to minimize blood loss vasopressin is commonly used as a haemostatic agent. [5][6][7][8][9][10]…”

Section: Discussionmentioning

confidence: 99%