Propofol infusion syndrome resuscitation with extracorporeal life support: a case report and review of the literature

被引:18
|
作者
Mayette, Michael [1 ,2 ,3 ]
Gonda, Jeremy [1 ,2 ,3 ]
Hsu, Joe L. [1 ,2 ,3 ]
Mihm, Frederick G. [1 ,2 ,3 ,4 ]
机构
[1] Stanford Univ, Sch Med, Div Pulm & Crit Care Med, Stanford, CA 94305 USA
[2] Stanford Univ, Sch Med, Div Crit Care Med, Stanford, CA 94305 USA
[3] Stanford Univ, Sch Med, Div Anesthesia, Stanford, CA 94305 USA
[4] Stanford Hosp & Clin, Dept Anesthesiol Pain & Perioperat Med, Stanford, CA 94305 USA
来源
关键词
Propofol infusion syndrome; Cardiogenic shock; Extracorporeal membrane oxygenation; CRITICALLY-ILL ADULT; REFRACTORY STATUS EPILEPTICUS; CLINICAL-PRACTICE GUIDELINES; MEMBRANE-OXYGENATION; STRESS CARDIOMYOPATHY; MANAGEMENT; CHILDREN; FAILURE; ECHOCARDIOGRAPHY; ECMO;
D O I
10.1186/2110-5820-3-32
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
We report a case of propofol infusion syndrome (PRIS) in a young female treated for status epilepticus. In this case, PRIS rapidly evolved to full cardiovascular collapse despite aggressive supportive care in the intensive care unit, as well as prompt discontinuation of the offending agent. She progressed to refractory cardiac arrest requiring emergent initiation of venoarterial extracorporeal membrane oxygenation (ECMO) during cardiopulmonary resuscitation (CPR). She regained a perfusing rhythm after prolonged (>8 hours) asystole, was weaned off ECMO and eventually all life support, and was discharged to home. We also present a review of the available literature on the use of ECMO for PRIS.
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页码:1 / 6
页数:6
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