Meprobamate poisoning, hypotension and the swan-ganz catheter

✍ Scribed by E. Eeckhout; L. Huyghens; B. Loef; V. Maes; J. Sennesael

• Publisher: Springer
• Year: 1988
• Tongue: English
• Weight: 145 KB
• Volume: 14
• Category: Article
• ISSN: 1432-1238
• DOI: 10.1007/bf00262904

✦ Synopsis

A case is described in which voluntary ingestion of 72 g meprobamate (mpb) was complicated by shock ascribed to cardiac failure and vasodilation, documented by hemodynamic monitoring. Forced diuresis and cardiac inotropic support were added to the therapy. We recommend Swan-Ganz monitoring in any case of mpb overdosage associated with hypotension and suggest that forced diuresis is not contraindicated if appropriate assessment of the patient's hemodynamic condition is performed.