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363 Possible Causes for Refractory Shock

  • Acute Pancreatitis

    Abstract In this study we determined the clinical accuracy of α 2 - macroglobulin, α-amylase, C-reactive protein, lipase, non-esterified fatty acids, pancreatic α-amylase and phospholipase A in the diagnosis and prognosis of acute pancreatitis in a group of patients with acute abdominal pain using receiver operator[…][]

  • Acute Peritonitis

    […] septic shock.[] Later manifestations include cool, clammy, pale skin and cyanosis as shock becomes refractory. Monitor urine output.[] […] inotropic therapy can be added on to patients with cardiac dysfunction. 5 Continuous hydrocortisone infusion totaling 200 mg/24 hours is recommended for those with vasopressor-refractory[]

  • Disseminated Intravascular Coagulation

    To determine the accuracy of disseminated intravascular coagulation (DIC) and sustained systemic inflammatory response syndrome (SIRS) in predicting posttrauma multiple organ dysfunction syndrome (MODS) and to find a simple laboratory test for detecting MODS. In trauma patients, the duration of SIRS is the main[…][]

  • Toxic Shock Syndrome

    Despite conventional treatment, the patient developed refractory shock, which was immediately improved with PMX-DHP.[] shock.[] It is possible that an elevated shock index could be an early sign of hemodynamic instability, particularly if this is refractory to volume resuscitation. 0 Clinical Presentation[]

  • Cardiogenic Shock

    In the present case, we demonstrate the feasibility of biventricular Impella support in therapy-refractory cardiogenic shock facilitating bridge to recovery.[] Poisoning caused by high doses of tramadol can lead to refractory cardiogenic shock, and ECLS can be considered as effective rescue therapy in this context.[] Following percutaneous coronary intervention, the patient developed severe RV dysfunction with refractory cardiogenic shock.[]

  • Meningococcemia

    She developed a severe refractory septic shock with disseminated intravascular coagulation and rhabdomyolysis.[] Adjunctive and Experimental Therapies Corticosteroid therapy: Replacement doses (25 mg/m3 hydrocortisone 4 times) daily is useful in children with refractory shock associated[]

  • Acute Iron Intoxication

    Limited reports exist regarding acute iron intoxication during pregnancy. The maternal and fetal effects of accidental or deliberate ingestion of large amounts of iron may be catastrophic. A case report of acute iron intoxication, management strategies, and a review of the literature are presented. The[…][]

  • Adenovirus Infection

    […] acidosis, right heart failure and septic shock.[] Treatment was started once the diagnosis of disseminated adenovirus infection was made; however, at that time patient was suffering from refractory hypoxaemia, respiratory[]

  • Septic Shock

    CONCLUSION: Patients with refractory septic shock should be transferred precociously to a referral ECMO center.[] A 49-year-old white woman with grade III obesity, Crohn's disease, and an intestinal perforation presented with refractory septic shock.[] shock are finding new answers from the recent spate of evidence.[]

  • Hyperuricemia

    Due to her refractory acidosis and persistent hyperglycemia, insulin infusion was increased to 0.15 units/kg/h.[] She continued to have significant shock for the first 30 h of her hospital stay, requiring moderate vasoactive support.[]

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