Use of midodrine and fludrocortisone in neurogenic shock: A case report

Our case report includes a 42 year old male who had C6–C7 fracture dislocation with complete spinal cord injury following a motor vehicle accident. The patient underwent combined anterior and posterior fixation of the cervical spine. However, the patient had hypotension as a part of neurogenic shock...

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Detalles Bibliográficos
Autores principales: Kripa, KC, Khanal, Sushil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8463817/
https://www.ncbi.nlm.nih.gov/pubmed/34603715
http://dx.doi.org/10.1016/j.amsu.2021.102811
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author Kripa, KC
Khanal, Sushil
author_facet Kripa, KC
Khanal, Sushil
author_sort Kripa, KC
collection PubMed
description Our case report includes a 42 year old male who had C6–C7 fracture dislocation with complete spinal cord injury following a motor vehicle accident. The patient underwent combined anterior and posterior fixation of the cervical spine. However, the patient had hypotension as a part of neurogenic shock and required vasopressor to maintain mean arterial pressure. The patient was treated in Intensive Care Unit with noradrenaline infusion to maintain mean arterial pressure but it was really challenging to stop the vasopressor. The patient was started on oral Midodrine and Fludrocortisone; vasopressor dose was tapered and finally stopped.
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spelling pubmed-84638172021-10-01 Use of midodrine and fludrocortisone in neurogenic shock: A case report Kripa, KC Khanal, Sushil Ann Med Surg (Lond) Case Report Our case report includes a 42 year old male who had C6–C7 fracture dislocation with complete spinal cord injury following a motor vehicle accident. The patient underwent combined anterior and posterior fixation of the cervical spine. However, the patient had hypotension as a part of neurogenic shock and required vasopressor to maintain mean arterial pressure. The patient was treated in Intensive Care Unit with noradrenaline infusion to maintain mean arterial pressure but it was really challenging to stop the vasopressor. The patient was started on oral Midodrine and Fludrocortisone; vasopressor dose was tapered and finally stopped. Elsevier 2021-09-04 /pmc/articles/PMC8463817/ /pubmed/34603715 http://dx.doi.org/10.1016/j.amsu.2021.102811 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kripa, KC
Khanal, Sushil
Use of midodrine and fludrocortisone in neurogenic shock: A case report
title Use of midodrine and fludrocortisone in neurogenic shock: A case report
title_full Use of midodrine and fludrocortisone in neurogenic shock: A case report
title_fullStr Use of midodrine and fludrocortisone in neurogenic shock: A case report
title_full_unstemmed Use of midodrine and fludrocortisone in neurogenic shock: A case report
title_short Use of midodrine and fludrocortisone in neurogenic shock: A case report
title_sort use of midodrine and fludrocortisone in neurogenic shock: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8463817/
https://www.ncbi.nlm.nih.gov/pubmed/34603715
http://dx.doi.org/10.1016/j.amsu.2021.102811
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