Volume infusion in experimental refractory shock

1979 ◽  
Vol 66 (2) ◽  
pp. 80-83 ◽  
Author(s):  
J. A. R. Smith ◽  
J. N. Norman
Keyword(s):  
Refractory Shock

scholarly journals Use of extracorporeal membrane oxygenation in postpartum patients with refractory shock or respiratory failure

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Ryoung-Eun Ko ◽  
Chi Ryang Chung ◽  
Jeong Hoon Yang ◽  
Kyeongman Jeon ◽  
Gee Young Suh ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Extracorporeal Membrane Oxygenation ◽  
Major Bleeding ◽  
Discharge Rate ◽  
Median Number ◽  
Survival Outcomes ◽  
Refractory Shock ◽  
Membrane Oxygenation ◽  
Study Population ◽  
Level Of Experience

AbstractAlthough extracorporeal membrane oxygenation (ECMO) is increasingly utilized, only a limited level of experience has been reported in postpartum cardiopulmonary failure. Ten critically ill postpartum patients who received ECMO were included between January 2010 and December 2018 in this retrospective observational study. The main indication for ECMO support was peripartum cardiomyopathy (n = 5), followed by postpartum hemorrhage (n = 2). Nine patients initially received veno-arterial ECMO, and one patient received veno-venous ECMO. Major bleeding occurred in six patients. The median number of units of red blood cells (RBC) transfused during ECMO was 14.5 units (interquartile range 6.8–37.8 units), and most RBC transfusions occurred on the first day of ECMO. The survival-to-discharge rate was 80%. Compared to the survival outcomes in female patients of similar age who received ECMO, the survival outcomes were significantly better in the study population (56% versus 80%, P = 0.0004). Despite the high risk of major bleeding, ECMO for patients with postpartum cardiac or respiratory failure showed excellent survival outcomes. ECMO is feasible in these patients and can be carried out with good outcomes in an experienced centre.

The Role of Invasive Hemodynamic Monitoring in an Unusual Case of Refractory Shock

2014 ◽  
Vol 11 (9) ◽  
pp. 1497-1499
Author(s):  
Christopher DeCotiis ◽  
Mauricio Danckers ◽  
Robert O. Roswell ◽  
Kenneth I. Berger
Keyword(s):  
Hemodynamic Monitoring ◽  
Unusual Case ◽  
Refractory Shock ◽  
Invasive Hemodynamic Monitoring

scholarly journals Unresponsive shock due to amlodipine overdose: An unexpected cause

2018 ◽  
Vol 10 (4) ◽  
pp. 246-247 ◽  
Author(s):  
Shailesh Kumar ◽  
Devyani Thakur ◽  
Ritesh Kumar Gupta ◽  
Alka Sharma
Keyword(s):  
Channel Blocker ◽  
Kidney Injury ◽  
Poor Performance ◽  
Interesting Case ◽  
Young Lady ◽  
Fluid Replacement ◽  
Refractory Shock ◽  
Shock Reversal ◽  
Dihydropyridine Calcium Channel Blocker ◽  
Hypertensive Drug

Amlodipine is a dihydropyridine calcium channel blocker which is widely used as an anti-hypertensive drug. Amlodipine overdose has been infrequently reported with the occurrence of serious complications and even death in a few cases. We report an interesting case of a young lady who presented with refractory shock with acute kidney injury, which did not respond to therapy despite optimal fluid replacement and vasopressor support. The etiology of shock could not be ascertained and the patient was questioned again to elucidate the missing clue in the history. It was finally revealed that the patient had consumed 900 mg of amlodipine in a suicide bid, for her poor performance in academics. The targeted therapy in the form of IV calcium and hyperinsulinemia-euglycemia therapy (HIET) was started and the patient dramatically improved with shock reversal and improvement in renal function.

scholarly journals Improved Post-Resuscitation Survival Time with Adjuvant Cytosolic Energy Replenishment in a Murine Model of Hemorrhagic Refractory Shock

2017 ◽  
Vol 01 (01) ◽  
Author(s):  
El Rasheid Zakaria ◽  
Bellal Joseph ◽  
Faisal S Jehan ◽  
Muhammad Khan ◽  
Abdelrahman Algamal ◽  
...  
Keyword(s):  
Survival Time ◽  
Murine Model ◽  
Refractory Shock ◽  
Energy Replenishment

Resolution of Refractory Shock

2016 ◽  
Vol 44 (8) ◽  
pp. 1632-1633
Author(s):  
Ian C. Gilchrist
Keyword(s):  
Refractory Shock

Terlipressin as rescue treatment of refractory shock in a neonate

2008 ◽  
Vol 97 (4) ◽  
pp. 500-501 ◽  
Author(s):  
Luca Filippi ◽  
Chiara Poggi ◽  
Lisa Serafini ◽  
Patrizio Fiorini
Keyword(s):  
Refractory Shock ◽  
Rescue Treatment

scholarly journals Efficacy of CytoSorb in a Pediatric Case of Severe Multisystem Infammatory Syndrome (MIS-C): A Clinical Case Report

2021 ◽  
Vol 9 ◽  
Author(s):  
Gabriella Bottari ◽  
Valerio Confalone ◽  
Nicola Cotugno ◽  
Isabella Guzzo ◽  
Salvatore Perdichizzi ◽  
...  
Keyword(s):  
Clinical Case ◽  
Myocardial Dysfunction ◽  
Interleukin 10 ◽  
Refractory Shock ◽  
Sublingual Microcirculation ◽  
Reactive Protein ◽  
Extracorporeal Blood Purification ◽  
Life Threatening ◽  
Inflammatory Syndrome ◽  
First Time

Background: Multisystem inflammatory syndrome in children (MIS-C) has emerged during the COVID-19 pandemic as a new SARS-CoV-2-related entity, potentially responsible for a life-threatening clinical condition associated with myocardial dysfunction and refractory shock.Case: We describe for the first time in a 14-year-old girl with severe MIS-C the potential benefit of an adjuvant therapy based on CytoSorb hemoperfusion and continuous renal replacement therapy with immunomodulatory drugs.Conclusions: We show in our case that, from the start of extracorporeal blood purification, there was a rapid and progressive restoration in cardiac function and hemodynamic parameters in association with a reduction in the most important inflammatory biomarkers (interleukin 6, interleukin 10, C-reactive protein, ferritin, and D-dimers). Additionally, for the first time, we were able to show with analysis of the sublingual microcirculation a delayed improvement in most of the important microcirculation parameters in this clinical case of MIS-C.

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