Dialysis disequilibrium syndrome: an unusual cause of respiratory failure in the medical intensive care unit

Intensive Care Medicine - Tập 26 - Trang 628-630 - 2000
V. DiFresco1, M. Landman2, B. L. Jaber2, A. C. White3
1Department of Medicine, New England Medical Center, Tufts University School of Medicine, Tupper Research Institute, Boston, MA 02111, USA, , GB
2Division of Nephrology, New England Medical Center, Tufts University School of Medicine, Tupper Research Institute, Boston, MA 02111, USA, , GB
3Division of Pulmonary and Critical Care, New England Medical Center, 750 Washington Street, NEMC #128, Boston, MA 02111, USA e-mail: [email protected] Tel.: + 1-6 17-6 36 13 53 Fax: + 1-6 17-6 36 59 53, , GB

Tóm tắt

We describe a case of the dialysis disequilibrium syndrome (DDS) that was marked by the rapid onset of cerebral edema and the subsequent development of acute respiratory failure. The patient was treated successfully with a combination of mechanical hyperventilation and mannitol. The clinical presentation, pathogenesis, prevention and treatment of the entity are discussed.