[Case of sever septic shock following transurethral lithotripsy]
| Autor: | Shiho, Tobaru, Shunsuke, Izumi, Satoko, Saikawa, Yuji, Miyata, Manabu, Kakinohana |
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| Rok vydání: | 2014 |
| Předmět: |
Calcitonin
Male Calcitonin Gene-Related Peptide Hemodiafiltration Meropenem Anesthesia General Middle Aged Severity of Illness Index Shock Septic Anti-Bacterial Agents Endotoxins Hemoperfusion Kidney Calculi Treatment Outcome Urethra Lithotripsy Humans Thienamycins Protein Precursors Infusions Intravenous Biomarkers |
| Zdroj: | Masui. The Japanese journal of anesthesiology. 63(6) |
| ISSN: | 0021-4892 |
| Popis: | A 62-year-old man was scheduled for transurethral lithotripsy. Systemic shivering, vomiting and decreased blood pressure occurred after extubation. Blood gas analysis showed metabolic acidosis. After 45 minute observation, he became unconsciousness. He was reintubated. Elevated procalcitonin (PCT) and endotoxin activity assay (EAA) brought us to the diagnosis of severe septic shock. He was treated by a standard therapy conforming to early goal direct therapy and PMX-DHP with CHDF. He showed full recovery, and was discharged 9 days after the procedure. TUL is commonly performed, but it seldom leads to sepsis. We need to pay a careful attention peri- and postoperatively. |
| Databáze: | OpenAIRE |
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