Diencephalic storm in trauma patients: Is it really that rare

نویسندگان

چکیده

Introduction: Diencephalic storm is characterized by extreme episodic catecholamine release in the presence of a stressor and it usually refractory to standard antihypertensives. The treatment choice during crisis propofol best preventative measure remove (i.e. ventilator). Case presentation: A 32-year-old male sustained 2nd 3rd degree burn 25 percent body surface area that included severe inhalation component. patient was admitted Burn Intensive Care Unit at Arnold Luterman Regional Center Mobile, AL. had frequent episodes (3-5 per day) agitation were accompanied tachycardia > 200 beats minute hypertension (280/140). inciting event often endotracheal suctioning, but less noxious stimulation also resulted similar episodes. During these episodes, significantly elevated levels improved after extubation. patient’s symptoms refractor antihypertensives immediately resolved when given propofol. Further diencephalic treated successfully with Once removed from mechanical ventilation, there no further Conclusion: Storm may be difficult diagnose due lack familiarity this rare entity. Any combined effects large surges should considered have Storm. immediate responsiveness removal stressor.

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ژورنال

عنوان ژورنال: Open journal of trauma

سال: 2022

ISSN: ['2640-7949']

DOI: https://doi.org/10.17352/ojt.000039