Syndrome d’Ogilvie traité par néostigmine, lors d’une méningo-encéphalite à Streptococcus pneumoniae
| Autor: | Séverine Ansart, L de Saint-Martin, A Renault, J.-M Boles, M Ould-Ahmed |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Nothing by mouth
medicine.medical_specialty Ogilvie syndrome Decompression business.industry medicine.medical_treatment General Medicine Anticholinergic agents medicine.disease Intensive care unit Neostigmine Surgery law.invention Anesthesiology and Pain Medicine law medicine Complication business Meningitis medicine.drug |
| Zdroj: | Annales Françaises d'Anesthésie et de Réanimation. 22:900-903 |
| ISSN: | 0750-7658 |
| DOI: | 10.1016/j.annfar.2003.09.008 |
| Popis: | We report the case of a 71-year-old man with acute colonic pseudo-obstruction that complicates a pneumococcal meningo-encephalitis. After 48 h of conservative management with nothing by mouth, nasogastric suction, fluid and electrolyte correction, withdrawal of any anticholinergic agents, a pharmacological approach with 2 mg of neostigmine was successful in intensive care unit. This treatment was effective in over 80% of patients of recent reports. Neostigmine might be considered as first-line therapy in patients who do not have major contraindications to its use, because of less frequent iatrogenic risk than colonoscopic decompression or surgery. |
| Databáze: | OpenAIRE |
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