A case of metformin-associated lactic acidosis with cardiogenic and vasoplegic shock supported by ECPella.

Autor: Ling SK; Department of Intensive Care, Tuen Mun Hospital, Tuen Mun, Hong Kong., Chung KW; Department of Intensive Care, Tuen Mun Hospital, Tuen Mun, Hong Kong., Ma HY; Department of Intensive Care, Tuen Mun Hospital, Tuen Mun, Hong Kong.
Jazyk: angličtina
Zdroj: Perfusion [Perfusion] 2024 Sep; Vol. 39 (6), pp. 1265-1269. Date of Electronic Publication: 2023 Jun 05.
DOI: 10.1177/02676591231181851
Abstrakt: Metfomin-associated lactic acidosis (MALA) is a rare but life-threatening complication of metformin use. We present a case of MALA with concurrent cardiogenic and vasoplegic shock which was successfully supported by ECPella (concurrent use of VA-ECMO and Impella). Early recognition, aggressive hemodynamic support with ECPella and early hemodialysis can be life-saving. Monitoring of both lactate and S v O 2 trends can help understand the response to treatment.
Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze: MEDLINE
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