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THE PHYSIOLOGIC BASIS FOR VASOPRESSOR THERAPY DURING SHOCK

1959; American College of Physicians; Volume: 50; Issue: 5 Linguagem: Inglês

10.7326/0003-4819-50-5-1092

1539-3704

Sheldon E. Greisman,

Hemodynamic Monitoring and Therapy

Article1 May 1959THE PHYSIOLOGIC BASIS FOR VASOPRESSOR THERAPY DURING SHOCKSHELDON E. GREISMAN, M.D.SHELDON E. GREISMAN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-50-5-1092 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptINTRODUCTIONThe therapeutic usefulness of vasopressor agents, although employed many years for correction of various shock syndromes, remains highly controversial. Some investigators disapprove of their indiscriminate use;1-3others have advocated such therapy routinely.4, 5The basis for the divergence of opinion may be traced to variation in interpretation of the clinical evidence. Conclusions favoring the routine employment of vasopressor therapy often fail to consider that: (1) improvement of the systemic arterial blood pressure is not synonymous with therapeutic benefit; in some instances "cures" have been ascribed to vasopressor drugs although the ultimate outcome was fatal; (2) lessening of cyanosis, though...Bibliography1. Wilkins RW: Treatment of the state of shock. XXIII. The role of vasopressor agents in the treatment of shock, Symposium on Shock, Army Medical Service Graduate School, May, 1951. Google Scholar2. Fine J: Summary paper. XXXIII. Treatment of shock, Symposium on Shock, Army Medical Service Graduate School, May, 1951. Google Scholar3. Nickerson M: Factors of vasoconstriction and vasodilatation in shock, J. Michigan M. Soc. 54: 45, 1955. MedlineGoogle Scholar4. MillerShifrinKaplanGoldBillingsKatz AJABMHALN: Arterenol in treatment of shock, J. A. M. A. 152: 1198, 1953. CrossrefMedlineGoogle Scholar5. 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PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe Treatment of Acute Meningococcal Infection in Adults A ReappraisalSTUART LEVIN, M. B. PAINTERShock in infectious diseasesBlood pressure and urinary responses to increasing concentrations of norepinephrine in sequential hemorrhageAcute myocardial infarction in a city hospitalSchock und Kollaps 1 May 1959Volume 50, Issue 5Page: 1092-1114KeywordsAtherosclerosisBlood pressureDrug therapyHypoxiaIschemiaMicrobiologyShockThrombosisVasopressor therapyVasopressors ePublished: 1 December 2008 Issue Published: 1 May 1959 PDF downloadLoading ...