A 36 -year-old female developed refractory cardiac and respiratory failure after self-declared ingestion of unknown amount of propranolol, benzodiazepine and few other unknown drugs in unknown dose. She also had vomiting followed by aspiration pneumonia. Despite giving adequate I/V fluid, antibiotics, activated charcoal, lipid emulsion, intravenous sodium bicarbonate and inotropic support, she became hypotensive and developed acute heart failure with pulmonary edema. This patient was managed with extracorporeal membrane oxygenation (ECMO) for 72 h, she survived without any deficit. This records country’s first ever use of extracorporeal membrane oxygenation in any patient. In this particular case when traditional antidotes were insufficient to prevent collapse, ECMO was introduced in the form of extracorporeal life support (ECLS) to maintain perfusion, reduce vasopressor requirements, and maintain oxygenation and carbon dioxide removal from blood. With increasing expertise and availability, extracorporeal membrane oxygenation should be considered in patients who develop cardiac or respiratory failure due to any cause, refractory to conventional therapy.
Bangladesh Crit Care J September 2022; 10(2): 142-145
We present a case of 26 years old lady, who was diagnosed as GBS in her postpartum period after being infected with COVID-19. Initially she had mild sore throat and cough but was diagnosed with COVID-19 after undergoing normal vaginal delivery which was done as a part of routine investigation. Later she developed sudden blurring of vision, severe headache along with quadriparesis, arefexia, slurring of speech with nasal voice. On the basis of this she was diagnosed as a case of GBS clinically and was treated with IVIG. She was taken care under critical care medicine department for a week where she improved clinically but still her qaudriparesis persisted with diminished reflex.
Bangladesh Crit Care J September 2021; 9 (2): 109-111
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