June 9, 2026 · Paediatric anaesthesia · DOI: 10.1002/pan.70237

Role of Angiotensin II as a Vasoactive Agent to Treat Distributive Shock With a Focus on Preliminary Data in Pediatric-Aged Patients

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This review investigates the role of angiotensin II (AT-II) as a vasoactive agent in treating distributive shock, particularly in pediatric patients, where conventional treatments may be insufficient. The authors highlight existing evidence suggesting AT-II can improve mean arterial pressure in both adults and children, but note the lack of robust data on long-term survival outcomes. They call for future research to better define the dosing strategies and potential survival benefits of AT-II in this context.

Shinya Ito, Kevin Spellman, Sarah Khan, Joseph D Tobias

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