Hyperthermia complicating tricyclic antidepressant overdose.

Abstract:

:We observed a 51-year-old woman who was admitted for severe amitriptyline overdose. Besides major cardiovascular complications, the patient developed severe hyperpyrexia with a central body temperature of more than 43 degrees C for 5 h. The patient died on day 3 from cardiocirculatory collapse and arrhythmias. Hyperthermia was unresponsive to cooling with ice water, gastric lavage, muscle relaxation, and dantrolene and bromocriptine administration. The possible mechanisms of refractory hyperthermia are discussed.

journal_name

Intensive Care Med

journal_title

Intensive care medicine

authors

Hantson P,Benaissa M,Clemessy JL,Baud FJ

doi

10.1007/BF01712165

subject

Has Abstract

pub_date

1996-05-01 00:00:00

pages

453-5

issue

5

eissn

0342-4642

issn

1432-1238

journal_volume

22

pub_type

杂志文章
  • Cognitive improvement during continuous sedation in critically ill, awake and responsive patients: the Acute Neurological ICU Sedation Trial (ANIST).

    abstract:INTRODUCTION:Most anxiolytics and sedative regimens in the intensive care unit (ICU) impair intellectual function, reducing patient autonomy, and often add to patient morbidity. Using an ICU-validated cognitive assessment tool Adapted Cognitive Exam (ACE), we performed a comparison between dexmedetomidine (DEX) and pro...

    journal_title:Intensive care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s00134-010-1874-9

    authors: Mirski MA,Lewin JJ 3rd,Ledroux S,Thompson C,Murakami P,Zink EK,Griswold M

    更新日期:2010-09-01 00:00:00

  • Respiratory changes in inferior vena cava diameter are helpful in predicting fluid responsiveness in ventilated septic patients.

    abstract:OBJECTIVE:To evaluate the extent to which respiratory changes in inferior vena cava (IVC) diameter can be used to predict fluid responsiveness. DESIGN:Prospective clinical study. SETTING:Hospital intensive care unit. PATIENTS:Twenty-three patients with acute circulatory failure related to sepsis and mechanically ven...

    journal_title:Intensive care medicine

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00134-004-2259-8

    authors: Barbier C,Loubières Y,Schmit C,Hayon J,Ricôme JL,Jardin F,Vieillard-Baron A

    更新日期:2004-09-01 00:00:00

  • Influence of alveolar ventilation changes on calculated gastric intramucosal pH and gastric-arterial PCO2 difference.

    abstract:OBJECTIVE:To evaluate the influence of changes in alveolar ventilation on the following tonometry-derived variables: gastric intramucosal CO2 tension (PtCO2), gastric arterial CO2 tension difference (PgapCO2), gastric intramucosal pH (pHi) and arterial pH-pHi difference (pHgap). DESIGN:Clinical prospective study. SET...

    journal_title:Intensive care medicine

    pub_type: 临床试验,杂志文章

    doi:10.1007/s001340050834

    authors: Bernardin G,Lucas P,Hyvernat H,Deloffre P,Mattéi M

    更新日期:1999-03-01 00:00:00

  • Role of distinct phospholipases A2 and their modulators in meconium aspiration syndrome in human neonates.

    abstract:PURPOSE:Meconium aspiration syndrome (MAS) is a life-threatening neonatal lung injury, whose pathophysiology has been mainly studied in animal models. In such models, pancreatic secretory phospholipase A2 (sPLA2-IB) and proinflammatory cytokines present in meconium challenge the lungs, catabolising surfactant and harmi...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-011-2243-z

    authors: De Luca D,Minucci A,Tripodi D,Piastra M,Pietrini D,Zuppi C,Conti G,Carnielli VP,Capoluongo E

    更新日期:2011-07-01 00:00:00

  • Regional tidal ventilation and compliance during a stepwise vital capacity manoeuvre.

    abstract:PURPOSE:To determine whether, during mechanical ventilation, an optimal positive end-expiratory pressure (PEEP) can be identified by measurement of regional tidal volume and compliance [V (T(reg)), C (RS(reg))]. METHODS:Sixteen anaesthetized intubated neonatal piglets underwent a stepwise vital capacity manoeuvre perf...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-010-1995-1

    authors: Dargaville PA,Rimensberger PC,Frerichs I

    更新日期:2010-11-01 00:00:00

  • Cytomegalovirus reactivation in ICU patients.

    abstract:INTRODUCTION:Approximately 20 years have passed since we reported our results of histologically proven cytomegalovirus (CMV) pneumonia in non-immunocompromised ICU patients. Even if there are more recent reports suggesting that CMV may worsen the outcomes for ICU patients, there is no definite answer to this question: ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-015-4066-9

    authors: Papazian L,Hraiech S,Lehingue S,Roch A,Chiche L,Wiramus S,Forel JM

    更新日期:2016-01-01 00:00:00

  • Cytokeratin 19 fragments in patients with acute lung injury: a preliminary observation.

    abstract:OBJECTIVE:Cytokeratin 19 (CK19) is a specific cytoskeletal structure for alveolar epithelium. We hypothesized that the levels of CK19 fragments in bronchoalveolar lavage (BAL) fluid could serve as an index of epithelial injury and as a prognosis marker in patients with acute lung injury (ALI) or acute respiratory distr...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-006-0124-7

    authors: Stern JB,Paugam C,Validire P,Adle-Biassette H,Jaffré S,Dehoux M,Crestani B

    更新日期:2006-06-01 00:00:00

  • The application of potassium selective electrodes in the intensive care unit.

    abstract::Recent advances in analytical electrochemistry have provided highly selective potassium ion exchangers and robust polymeric membranes that can be used to measure the potassium activity in plasma or whole blood. The relationship between the activity measurement and the more familiar concentration measurement is explore...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01684390

    authors: Treasure T

    更新日期:1978-04-01 00:00:00

  • The effect of neuromuscular blockade on oxygen consumption in sedated and mechanically ventilated pediatric patients after cardiac surgery.

    abstract:OBJECTIVE:To measure the effect of intense neuromuscular blockade (NMB) on oxygen consumption (VO(2)) in deeply sedated and mechanically ventilated children on the first day after complex congenital cardiac surgery. DESIGN:Prospective clinical interventional study. SETTING:Pediatric intensive care unit of an universi...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-008-1252-z

    authors: Lemson J,Driessen JJ,van der Hoeven JG

    更新日期:2008-12-01 00:00:00

  • C-reactive protein and mortality in patients with acute aortic disease.

    abstract:OBJECTIVE:The association of acute-phase reaction and outcome of patients with acute vascular diseases is controversial. The prognostic value of admission C-reactive protein (CRP) in patients with acute aortic aneurysm or dissection has not yet been investigated. DESIGN AND SETTING:Cohort study including 255 consecuti...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-002-1299-1

    authors: Schillinger M,Domanovits H,Bayegan K,Hölzenbein T,Grabenwöger M,Thoenissen J,Röggla M,Müllner M

    更新日期:2002-06-01 00:00:00

  • Chest compressions versus ventilation plus chest compressions in a pediatric asphyxial cardiac arrest animal model.

    abstract:OBJECTIVE:To compare the ventilation achieved with chest compressions (CC) or ventilation plus compressions (VC) in a pediatric animal model of cardiac arrest. DESIGN:Randomized experimental study. SETTING:Experimental department of a University Hospital. METHODS:Twelve infant pigs with asphyxial cardiac arrest. Seq...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-010-1777-9

    authors: Iglesias JM,López-Herce J,Urbano J,Solana MJ,Mencía S,Del Castillo J

    更新日期:2010-04-01 00:00:00

  • Evaluation of trauma care: validation of the TRISS method in an Italian ICU.

    abstract:OBJECTIVE:To validate the TRISS method as an audit system on a group of patients with severe trauma admitted to an Italian general intensive care unit (ICU). DESIGN:Prospective, cohort study of consecutive admissions to the ICU. SETTING:A 6-bed general ICU in a 500-bed general hospital. PATIENTS:190 patients with se...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF02044120

    authors: Corbanese U,Possamai C,Casagrande L,Bordino P

    更新日期:1996-09-01 00:00:00

  • Increased lactate/pyruvate ratio with normal beta-hydroxybutyrate/acetoacetate ratio and lack of oxygen supply dependency in a patient with fatal septic shock.

    abstract::We report a case of fatal septic shock, with hyperlactatemia and blood cultures positive for Streptococcus pneumoniae, in a 70-year-old patient. On two occasions (5 days, and 2 days before the patient's death), the relationship between oxygen delivery (DO2) and consumption (VO2) was examined in conjunction with two pr...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340050300

    authors: Gallet D,Goudable J,Vedrinne JM,Viale JP,Annat G

    更新日期:1997-01-01 00:00:00

  • Cytochrome P450 mediated-drug metabolism is reduced in children with sepsis-induced multiple organ failure.

    abstract:OBJECTIVE:Antipyrine metabolism is a "gold standard" measure of mixed cytochrome P450 (CYP) mediated drug metabolism in humans. Cytokines (e.g., interleukin-6) and nitric oxide reduce CYP 450 activity in vitro and in vivo. Because interleukin-6 and nitric oxide production increases in children with sepsis-induced multi...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-003-1758-3

    authors: Carcillo JA,Doughty L,Kofos D,Frye RF,Kaplan SS,Sasser H,Burckart GJ

    更新日期:2003-06-01 00:00:00

  • Enterococcus faecalis colonisation and endocarditis in five intensive care patients as late sequelae of selective decontamination.

    abstract:OBJECTIVE:To describe Enterococcus faecalis colonisation and endocarditis in 5 intensive care patients after treatment with selective decontamination (SDD). SETTING:Intensive care unit (ICU) in a general hospital. PATIENTS:The patients were admitted to the ICU because of adult respiratory distress syndrome, polytraum...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01701478

    authors: Sijpkens YW,Buurke EJ,Ulrich C,van Asselt GJ

    更新日期:1995-03-01 00:00:00

  • Comparison of interhospital pediatric intensive care transport accompanied by a referring specialist or a specialist retrieval team.

    abstract:OBJECTIVE:Interhospital transfers of critically ill pediatric patients in The Netherlands are accompanied by referring specialists or by specialist retrieval teams. We compared the interventions before and directly after transports and the complications and the equipment available during transports in the two groups. ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-003-2066-7

    authors: Vos GD,Nissen AC,H M Nieman F,Meurs MMB,van Waardenburg DA,Ramsay G,Donckerwolcke RAMG

    更新日期:2004-02-01 00:00:00

  • Oxidative parameters and mortality in sepsis induced by cecal ligation and perforation.

    abstract:OBJECTIVE:This study assessed parameters of free radical damage to biomolecules, mitochondrial superoxide production, superoxide dismutase, and catalase activities and their relationship to sepsis mortality. DESIGN AND SETTING:Prospective animal study in a university laboratory for experimental. SUBJECTS:140 male Wis...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-003-1789-9

    authors: Ritter C,Andrades M,Frota Júnior ML,Bonatto F,Pinho RA,Polydoro M,Klamt F,Pinheiro CT,Menna-Barreto SS,Moreira JC,Dal-Pizzol F

    更新日期:2003-10-01 00:00:00

  • A model: systems management of life threatening injuries in children for the state of Maryland, USA.

    abstract::In the past two years several guidelines for suggested components of emergency medical systems for children have been suggested, and for the first time, specific standards of pediatric trauma care have also been formulated. The American Academy of Pediatrics new Provisional Committee on Emergency Medicine has been cha...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF00260888

    authors: Haller JA,Beaver B

    更新日期:1989-01-01 00:00:00

  • Methods of management of flail chest.

    abstract::We have treated 30 patients with flail chest, with priority given to associated factors (pain, secretions retention, hemo-/pneumothorax and underlying pulmonary contusion). When this treatment was insufficient IMV + PEEP was instituted; in this group there was a 58.8% incidence of pneumonia, 47.5% of sepsis and 11.7 d...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01687161

    authors: Carpintero JL,Rodriguez Diez A,Ruiz Elvira MJ,Benitez JA,Perez Rielo A

    更新日期:1980-08-01 00:00:00

  • Fluid balance and weaning outcomes.

    abstract:OBJECTIVE:To examine the relationship of fluid balance and weaning outcomes. METHODS:We prospectively collected demographic, physiological, daily fluid balance (measured inputs minus outputs), and weaning data from 87 mechanically ventilated patients. PATIENTS:We examined 87 patients, a median age of 66 years, APACHE...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-005-2801-3

    authors: Upadya A,Tilluckdharry L,Muralidharan V,Amoateng-Adjepong Y,Manthous CA

    更新日期:2005-12-01 00:00:00

  • Influence of tidal volume on left ventricular stroke volume variation measured by pulse contour analysis in mechanically ventilated patients.

    abstract:OBJECTIVE:Real-time measurement of stroke volume variation by arterial pulse contour analysis (SVV) is useful in predicting volume responsiveness and monitoring volume therapy in mechanically ventilated patients. This study investigated the influence of the depth of tidal volume (V(t)) on SVV both during the state of f...

    journal_title:Intensive care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s00134-003-1649-7

    authors: Reuter DA,Bayerlein J,Goepfert MS,Weis FC,Kilger E,Lamm P,Goetz AE

    更新日期:2003-03-01 00:00:00

  • Erythromycin versus metoclopramide for post-pyloric spiral nasoenteric tube placement: a randomized non-inferiority trial.

    abstract:PURPOSE:To determine whether erythromycin is non-inferior to metoclopramide in facilitating post-pyloric placement of self-propelled spiral nasoenteric tubes (NETs) in critically ill patients. METHODS:A prospective, multicenter, open-label, parallel, and non-inferiority randomized controlled trial was conducted compar...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1007/s00134-018-5466-4

    authors: Hu B,Ouyang X,Lei L,Sun C,Chi R,Guo J,Guo W,Zhang Y,Li Y,Huang D,Sun H,Nie Z,Yu J,Zhou Y,Wang H,Zhang J,Chen C

    更新日期:2018-12-01 00:00:00

  • Anticoagulation strategies in continuous renal replacement therapy: can the choice be evidence based?

    abstract:OBJECTIVES:Critical illness increases the tendency to both coagulation and bleeding, complicating anticoagulation for continuous renal replacement therapy (CRRT). We analyzed strategies for anticoagulation in CRRT concerning implementation, efficacy and safety to provide evidence-based recommendations for clinical prac...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s00134-005-0044-y

    authors: Oudemans-van Straaten HM,Wester JPJ,de Pont ACJM,Schetz MRC

    更新日期:2006-02-01 00:00:00

  • Plasma fibronectin and complement following infusion of colloidal solutions after spinal anaesthesia.

    abstract::A randomized study of 30 patients undergoing uncomplicated surgery under spinal anesthesia was conducted to assess the influence of colloids on the kinetics of plasma fibronectin and complement. Both are opsonins of the reticuloendothelial system; moreover fibronectin is concerned with host resistance against septic c...

    journal_title:Intensive care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/BF01691428

    authors: Vedrinne JM,Hoen JP,Bussery D,Veyssere C,Richard M,Motin J

    更新日期:1991-01-01 00:00:00

  • Early and late onset bacteremia have different risk factors in trauma patients.

    abstract:OBJECTIVE:The aim of this study was to identify risk factors and to describe epidemiological patterns for early-(EOB) and late-onset bacteremias (LOB) after trauma. DESIGN:A prospective study conducted on 141 consecutive trauma patients. SETTING:A general intensive care unit (ICU) of a university hospital. PATIENTS:...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01709514

    authors: Antonelli M,Moro ML,D'Errico RR,Conti G,Bufi M,Gasparetto A

    更新日期:1996-08-01 00:00:00

  • The "sinusogram", a real-time ultrasound sign of maxillary sinusitis.

    abstract:OBJECTIVE:To describe a real-time ultrasound sign, the visualization of the cavity and the walls of the maxillary sinus ("sinusogram"), and to assess its correlation with total opacity of the sinus. DESIGN:Prospective clinical study. SETTING:The medical ICU of a university-affiliated hospital. PATIENTS:The significa...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340050716

    authors: Lichtenstein D,Biderman P,Mezière G,Gepner A

    更新日期:1998-10-01 00:00:00

  • Plasma levels of the three endothelial-specific proteins von Willebrand factor, tissue factor pathway inhibitor, and thrombomodulin do not predict the development of acute respiratory distress syndrome.

    abstract:OBJECTIVE:To determine if the plasma levels of three endothelial-specific proteins, von Willebrand factor (vWF), tissue factor pathway inhibitor (TFPI) and thrombomodulin (TM) may be useful in predicting the development of acute respiratory distress syndrome (ARDS). DESIGN:Blood samples were obtained from normal healt...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340051054

    authors: Bajaj MS,Tricomi SM

    更新日期:1999-11-01 00:00:00

  • The American-European Consensus Conference on ARDS, part 2. Ventilatory, pharmacologic, supportive therapy, study design strategies and issues related to recovery and remodeling.

    abstract::The acute respiratory distress syndrome (ARDS) continues as a contributor to the morbidity and mortality of patients in intensive care units throughout the world, imparting tremendous human and financial costs. During the last ten years there has been a decline in ARDS mortality without a clear explanation. The Americ...

    journal_title:Intensive care medicine

    pub_type: 共识发展会议,杂志文章,评审

    doi:10.1007/s001340050585

    authors: Artigas A,Bernard GR,Carlet J,Dreyfuss D,Gattinoni L,Hudson L,Lamy M,Marini JJ,Matthay MA,Pinsky MR,Spragg R,Suter PM

    更新日期:1998-04-01 00:00:00

  • Rapid diagnosis of alcoholic ketoacidosis by proton NMR.

    abstract::In alcoholic patients, metabolic acidosis can be related to lactate acidosis associated with sepsis or thiamine deficiency, ketoacidosis, methanol or ethylene glycol poisoning. High resolution proton nuclear magnetic resonance (NMR) can be used to detect abnormal organic acid metabolites in urine or serum from patient...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340100892

    authors: Godet C,Hira M,Adoun M,Eugène M,Robert R

    更新日期:2001-04-01 00:00:00

  • Predictors of mortality and multiple organ failure in children with sepsis.

    abstract:OBJECTIVES:To assess the markers of perfusion which best discriminate survivors from non-survivors of childhood sepsis and to compare the information derived from gastric tonometry with conventionally measured haemodynamic and laboratory parameters. DESIGN:Prospective clinical study of children with sepsis syndrome or...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340050394

    authors: Duke TD,Butt W,South M

    更新日期:1997-06-01 00:00:00