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Vasopressor-Induced Digital Ischemia
In patients who are critically ill and in circulatory shock, substantial dosages of vasopressors including norepinephrine and Neosynephrine are often required to sustain blood pressure. While these medications are necessary and can be lifesaving, they are often associated with several complications...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8396423/ https://www.ncbi.nlm.nih.gov/pubmed/34466309 http://dx.doi.org/10.7759/cureus.16595 |
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author | Jesani, Shruti Elkattawy, Sherif Noori, Muhammad Atif Masood Ayad, Sarah Abuaita, Suha Gergis, Kirolos Elkattawy, Omar Garg, Vipin |
author_facet | Jesani, Shruti Elkattawy, Sherif Noori, Muhammad Atif Masood Ayad, Sarah Abuaita, Suha Gergis, Kirolos Elkattawy, Omar Garg, Vipin |
author_sort | Jesani, Shruti |
collection | PubMed |
description | In patients who are critically ill and in circulatory shock, substantial dosages of vasopressors including norepinephrine and Neosynephrine are often required to sustain blood pressure. While these medications are necessary and can be lifesaving, they are often associated with several complications related to severe vasoconstrictions. One of these known but underreported side effects is digital ischemia (DI). DI refers to a decrease in digital perfusion. It is a rare and uncommon phenomenon that can lead to significant consequences and unfortunately can result in amputation of the digits. Herein, we report an unfortunate female with septic shock secondary to acute bowel ischemia who developed bilateral digital necrosis while on norepinephrine. |
format | Online Article Text |
id | pubmed-8396423 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-83964232021-08-30 Vasopressor-Induced Digital Ischemia Jesani, Shruti Elkattawy, Sherif Noori, Muhammad Atif Masood Ayad, Sarah Abuaita, Suha Gergis, Kirolos Elkattawy, Omar Garg, Vipin Cureus Cardiology In patients who are critically ill and in circulatory shock, substantial dosages of vasopressors including norepinephrine and Neosynephrine are often required to sustain blood pressure. While these medications are necessary and can be lifesaving, they are often associated with several complications related to severe vasoconstrictions. One of these known but underreported side effects is digital ischemia (DI). DI refers to a decrease in digital perfusion. It is a rare and uncommon phenomenon that can lead to significant consequences and unfortunately can result in amputation of the digits. Herein, we report an unfortunate female with septic shock secondary to acute bowel ischemia who developed bilateral digital necrosis while on norepinephrine. Cureus 2021-07-23 /pmc/articles/PMC8396423/ /pubmed/34466309 http://dx.doi.org/10.7759/cureus.16595 Text en Copyright © 2021, Jesani et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiology Jesani, Shruti Elkattawy, Sherif Noori, Muhammad Atif Masood Ayad, Sarah Abuaita, Suha Gergis, Kirolos Elkattawy, Omar Garg, Vipin Vasopressor-Induced Digital Ischemia |
title | Vasopressor-Induced Digital Ischemia |
title_full | Vasopressor-Induced Digital Ischemia |
title_fullStr | Vasopressor-Induced Digital Ischemia |
title_full_unstemmed | Vasopressor-Induced Digital Ischemia |
title_short | Vasopressor-Induced Digital Ischemia |
title_sort | vasopressor-induced digital ischemia |
topic | Cardiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8396423/ https://www.ncbi.nlm.nih.gov/pubmed/34466309 http://dx.doi.org/10.7759/cureus.16595 |
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