Volume 14
Number 0
Feb 2010
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Case Reports
RMA van de wal, MJ Swaans, VH Deneer, H Biemond-Moeniralam, AJ Meinders

Hypotension is a common clinical problem in the intensive care unit, and intravenous inotropic or vasopressor therapy is often necessary. In dialysis-dependent patients the process of tapering the dose of intravenous inotropics can be complicated by refrac- tory hypotension. The two cases described in this report outline the successful introduction of midodrine, an oral α1-receptor agonist, in two patients suffering from refractory hypotension.


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