[State of shock during acute meprobamate poisoning. 6 cases]

Ann Fr Anesth Reanim. 1994;13(3):407-11. doi: 10.1016/s0750-7658(94)80049-9.
[Article in French]

Abstract

The prognosis of acute meprobamate poisoning is related to shock whose haemodynamic mechanism remains obscure. We report the results of a retrospective study of six patients with meprobamate poisoning associated with shock and explored by a right heart catheterization. The age of the patients, five women and one man, ranged from 36 to 57 years. Five patients had also ingested other psychotropic drugs. A haemodynamic investigation was performed at admission to the ICU and three hours later, under treatment. Vasoplegia was the predominant feature. A myocardial dysfunction was sometimes associated, which can be explained by a moderate hypothermia. According to these results, we suggest that prior to right heart catheterization, the treatment should include inotropic and alphamimetic agents and that vascular filling should be cautious.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Female
  • Glasgow Coma Scale
  • Hemodynamics
  • Humans
  • Male
  • Meprobamate / poisoning*
  • Middle Aged
  • Retrospective Studies
  • Shock, Cardiogenic / chemically induced*
  • Shock, Cardiogenic / physiopathology
  • Suicide, Attempted*

Substances

  • Meprobamate