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首页> 外文期刊>Intensive care medicine >Suxamethonium in the intensive care unit: 'Fool me once, shame on you; fool me twice, shame on me'.
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Suxamethonium in the intensive care unit: 'Fool me once, shame on you; fool me twice, shame on me'.

机译:重症监护室中的硫沙索铵:“一次骗我,对你感到羞耻;两次骗我,对我羞耻”。

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摘要

A 25-year-old woman with acute intermittent porphyria (AIP) was admitted to critical care with exacerbation of her porphyria, poor pain control and subsequent respiratory failure. Prior to this admission, a neurophysiological assessment had documented a predominantly axonal sensory motor neuropathy. Mechanical ventilation followed an unsuccessful attempt at non-invasive ventilation. Propofol (140 mg) and atracurium (40 mg) facilitated intubation with a size 7.0 cuffed trachealtube, despite moderate tracheal stenosis.
机译:一名患有急性间歇性卟啉症(AIP)的25岁妇女因重症卟啉症加重,疼痛控制不佳和随后的呼吸衰竭而接受了重症监护。入院前,神经生理学评估已证明主要是轴突感觉运动神经病。机械通气是无创通气的失败尝试。尽管有中度气管狭窄,丙泊酚(140毫克)和阿曲库铵(40毫克)促进了7.0袖套气管导管的插管。

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