Utility of Point-of-Care Ultrasound (POCUS) for predicting risk of magnesium toxicity in critically ill pre-eclamptic patients

Saran, Sai; Preethi, Anusha; Jamuda, BirendraKumar; Agrawal, Ankita

doi:10.4103/ija.ija_698_21

Cited by 4 publications

(2 citation statements)

References 9 publications

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“…[ 8 ] Selectively speaking, USG of the lungs aids in the detection of pleural effusion, pneumothorax, collapse, consolidation and extra vascular lung water and also allows the optimisation of recruitment manoeuvres in mechanically ventilated patients. [ 9 - 11 ]…”

Section: Current Trends Of Research In the Critically Illmentioning

confidence: 99%

Optimising clinical outcomes with innovative research in the intensive care unit

Kurdi¹,

Patil²,

Radhakrishnan³

et al. 2022

Indian Journal of Anaesthesia

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Section: Current Trends Of Research In the Critically Illmentioning

confidence: 99%

Optimising clinical outcomes with innovative research in the intensive care unit

Kurdi¹,

Patil²,

Radhakrishnan³

et al. 2022

Indian Journal of Anaesthesia

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“…Point of care ultrasound (POCUS) is now a very useful clinical modality and is finding widespread clinical application for decision-making in critical care and perioperative medicine. [ 23 24 25 ] The CBME PG curriculum does mention that the PGs should learn to perform ultrasound-guided peripheral nerve blocks (PNBs) and venous cannulations. However, the structure of training in ultrasound is not elaborated.…”

mentioning

confidence: 99%

In pursuit of excellence in anaesthesia education….vision, challenges and opportunities

Bajwa

Mehdiratta

Kurdi

2022

Indian Journal of Anaesthesia

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Magnesium sulfate

2021

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Magnesium sulfateHypermagnesaemia following drug exposure during third trimester of pregnancy: case report A 29-year-old woman developed hypermagnesaemia during treatment with magnesium sulfate for eclampsia during third trimester of pregnancy in India.The primigravida woman presented at 35 weeks of gestation in India, with bilateral lower limb oedema abdominal pain and altered sensorium with seizures. Subsequently, with a provisional diagnosis of eclampsia, she received IV magnesium sulfate [magnesium sulphate] 4g followed by IM magnesium sulfate 5g in each buttock. The seizures decreased; however, she was immediately referred to a tertiary care hospital and was intubated for airway protection. Subsequently, eclampsia with aspiration pneumonia was diagnosed and she received unspecified empirical antimicrobials along with IV magnesium sulfate 2 g/hour infusion was continued in the emergency room. Thereafter, intrauterine death was confirmed and it was medically terminated. She was referred to the ICU. Bedside point-of-care ultrasound (POCUS) revealed moderate hydroureteronephrosis.The woman's treatment with magnesium sulfate was discontinued. Her investigations on admission received 2 hours later revealed serum magnesium of 12 mg/dL. Based on clinical picture and findings, a diagnosis of hypermagnesemia associated with magnesium sulfate was confirmed [duration of treatment to reaction onset not stated]. She received packed erythrocytes ( red blood cells) and the hypermagnesemia management was carried out with hydration, unspecified loop diuretics and calcium gluconate. At fourth day of ICU stay, she was weaned and extubated from ventilatory support. By day 5 of ICU stay, serum magnesium normalised. Subsequently, on day 10, she was discharged home with mildly elevated renal parameters. Three months following the discharge, she was hypertensive, and had chronic kidney disease (CKD).

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Utility of Point-of-Care Ultrasound (POCUS) for predicting risk of magnesium toxicity in critically ill pre-eclamptic patients

Cited by 4 publications

References 9 publications

Optimising clinical outcomes with innovative research in the intensive care unit

Optimising clinical outcomes with innovative research in the intensive care unit

In pursuit of excellence in anaesthesia education….vision, challenges and opportunities

Magnesium sulfate

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