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Chandler BT, Pernu P. Hyperinsulinaemic Euglycaemic Therapy Use in Neurogenic Stunned Myocardium following Subarachnoid Haemorrhage. Anaesth Intensive Care 2018; 46:575-578. [DOI: 10.1177/0310057x1804600607] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
We present a 62-year-old female who collapsed with a subarachnoid haemorrhage. This was complicated by profound shock secondary to neurogenic stunned myocardium. As the patient demonstrated life-threatening catecholamine-resistant shock that was unresponsive to conventional treatment measures, hyperinsulinaemic euglycaemic therapy was utilised as a rescue therapy. To our knowledge this has not previously been described in the literature. The patient proceeded to stabilise and made a good recovery.
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Affiliation(s)
- B. T. Chandler
- Anaesthetics and Critical Care, Scarborough General Hospital, Scarborough, North Yorkshire, United Kingdom
| | - P. Pernu
- Department of Anaesthetics, Scarborough General Hospital, Scarborough, North Yorkshire, United Kingdom
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