Successful treatment by vasopressin of a refractory rocuronium-induced anaphylactic shock: Case report

Epinephrine is the recommended treatment in anaphylactic shock. Recently cases of anaphylactic shock refractory to epinephrine have been reported. The authors report the efficacy of a bolus of vasopressin in a refractory anaphylactic shock caused by rocuronium after failure the epinephrine. Thought this case report and review of literature, the authors discuss the mechanism of action and the effectiveness of this alternative treatment, vasopressin, in refractory anaphylactic shock to epinephrine.