在严重的COVID-19中恶性高温症:2例病例报告
Solmaz Ehteshami-Afshar1, Roozbeh Nikooie1, Pranav Reddy1
1Department of Medicine, Yale University School of Medicine, New Haven, Connecticut.
Emergency and critical care medicine
|April 17, 2024
概括
恶性高温症是一种罕见的疾病,在两名被直管的COVID-19患者中被怀疑是恶性高温症. 他们对治疗的不同反应凸显了管理这些复杂病例的挑战.
科学领域:
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
背景情况:
- 恶性高温症是一种罕见的,危及生命的骨肌肉的药物遗传性疾病.
- 冠状病毒病2019 (COVID-19) 可能导致严重的呼吸衰竭,需要输管.
- 在重症患者中,输管和机械通风带来了独特的挑战.
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A body temperature above 38°C (100.4 °F) is known as fever or pyrexia, and a person with fever is termed 'febrile.' Typically, the hypothalamus, a part of the brain that acts as the body's thermostat, regulates body temperature through a thermoregulatory setpoint. It receives signals from cold and warm thermal receptors throughout the body and adjusts the body's temperature accordingly. Fever occurs when this hypothalamic setpoint is altered, usually in...
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Here are the different types of fever:
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Pharmacological Methods of Reducing Fever:
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Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without...
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