Meprobamate poisoning, hypotension and the swan-ganz catheter

Intensive Care Medicine - Tập 14 - Trang 437-438 - 1988
E. Eeckhout1, L. Huyghens1, B. Loef2, V. Maes3, J. Sennesael1
1Department of Internal Medicine, Akademisch Ziekenhuis Vrije Universiteit Brussel, Brussels, Belgium
2Department of Anesthesia, Akademisch Ziekenhuis Vrije Universiteit Brussel, Brussels, Belgium
3Department of Clinical Chemistry, Akademisch Ziekenhuis Vrije Universiteit Brussel, Brussels, Belgium

Tóm tắt

A case is described in which voluntary ingestion of 72 g meprobamate (mpb) was complicated by shock ascribed to cardiac failure and vasodilation, documented by hemodynamic monitoring. Forced diuresis and cardiac inotropic support were added to the therapy. We recommend Swan-Ganz monitoring in any case of mpb overdosage associated with hypotension and suggest that forced diuresis is not contraindicated if appropriate assessment of the patient's hemodynamic condition is performed.

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