Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-Case Studies in Toxicology and Drug Poisonings

Case Studies in Toxicology and Drug Poisonings

Video Transcription

Video Summary

In this medical case discussion, a 20-year-old male with a gunshot wound to the chest is examined, displaying tachycardia, hypertension, elevated temperature, respiratory distress, and metabolic acidosis along with alcohol intoxication. Initially, various sedative and analgesic regimens are considered, including dexmedetomidine, lorazepam, fentanyl, propofol, and ketamine, but fentanyl IV push and propofol are chosen for their efficacy in light sedation and analgesia. The patient develops propofol infusion syndrome (PRIS), characterized by hypertriglyceridemia, lactic acidosis, and hemodynamic instability. Monitoring propofol and exploring alternative therapies are emphasized.

Keywords

gunshot wound

propofol infusion syndrome

tachycardia

sedative regimens

metabolic acidosis

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