SEARCH TO FIND OUT CAUSE OF COMPLICATIONS OF DIABETIC PATIENT WHO WENT ON VENTILATOR AFTER OPEN CHOLECYSTECTOMY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2014, Vol 1, Issue 15
Abstract
Diabetes is very common now-a-days. Incidences of diabetes are increasing day by day. If not managed properly it is a slow killing disease. Its detrimental effects on various organs are not revealed clinically during initial course of disease. Tendency of patients to take diabetes casually makes this disease more complicated. Because of tendency of patients to change physicians frequently, it is difficult for subsequent physicians to judge overall course of diabetes and its control. Fifty years old obese patient with ASA II was posted for open cholecystectomy. Intraoperatively blood pressure rose to 160/100 but managed with iv sedation midazolam and little increasing concentration of isoflurane. Total procedure was uneventful. Reversal started after slight attempt of respiration but even after reversal tone of muscle was inadequate. Additional dose of 0.75 mg of iv neostigmine was tried, but it was not helpful. Tone of muscles and respiration was not adequate to extubate. Dose of calcium gluconate was also tried but was not helpful. Adequate time was also given for spontaneous recovery but was not helpful. Decision to shift patient on ventilator on SIMV mode was taken. Additional dose of midazolam 2 mg was given. Patient came out of ventilator after 10-12 hrs later. After thorough search of cause, neostigmine tablet was found at his home- which patient was considering as tablets to decrease blood sugar level i. e. OHD. All this happened due to change in physician. New physician told him to stop all OHD and shifted him on insulin. Patient stopped neostigmine tablet also considering it as OHD. WHY NEOSTIGMINE WAS STARTED? WHERE WAS GAP DURING HISTORY TAKING? ->
Authors and Affiliations
Baheti Sandip
Keywords
Related Articles
- EP ID EP227202
- DOI 10.18410/jebmh/2014/287
- Views 55
- Downloads 0
OPHTHALMIC MANIFESTATIONS AND VISUAL FIELD CHANGES WITH SELLAR AND SUPRASELLAR TUMOURS
To evaluate ocular manifestations and visual field changes in patients with Sellar and Suprasellar Tumours. METHODS: Fifty patients with Sellar and Suprasellar tumours underwent a complete ophthalmic assessment and visua...
CLINICAL AND SOCIO-DEMOGRAPHICAL STUDY OF PAEDIATRIC OCULAR INJURIES
BACKGROUND Ocular trauma can be a devastating injury, causing disability for a lifetime in children. Once described as the “neglected disorder,” has recently been highlighted as a major cause of visual morbidity. Globall...
HISTOPATHOLOGICAL PROFILE OF PROSTATECTOMY SPECIMENS IN A TERTIARY HOSPITAL
BACKGROUND Diseases of the prostate are common causes of morbidity and mortality in adult males. Benign prostatic hyperplasia is an extremely common disorder in men over the age of 50. Other frequently encountered diseas...
STUDIES ON HUMAN FALLOPIAN TUBAL EPITHELIUM IN DIFFERENT AGE GROUPS
BACKGROUND AND AIMS The “fallopian tubes” (oviducts or uterine tubes) are long paired flexuous reproductive organ which transports ova, spermatozoa, zygotes, the pre-implantation morulae and blastocyst. It has major role...
A RARE PRESENTATION OF CARCINOMA CAECUM: AS APPENDICULAR ABSCESS
Carcinoma caecum/ ascending colon accounts for up to 14% of colorectal tumours as reported from the developed countries. 1,2 Carcinoma of caecum is more common in western countries but it is not a rare disease in our cou...