Successful use of terlipressin in post-cardiac arrest resuscitation after an epinephrine-resistant anaphylactic shock to suxamethonium.

EPINEPHRINE is considered in most guidelines as the first-line treatment of anaphylactic shock occurring during anesthesia. In some cases, epinephrine is not effective, and alternative therapies have been proposed, such as norepinephrine or metaraminol 1 or, more recently, arginine vasopressin. 2 ' 4 To our knowledge, we are the first to report the successful treatment of anaphylactic shock with terlipressin, a structural analog of arginine vasopressin.

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