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Dialysis disequilibrium syndrome: an unusual cause of respiratory failure in the medical intensive care unit.

Abstract
We describe a case of the dialysis disequilibrium syndrome (DDS) that was marked by the rapid onset of cerebral edema and the subsequent development of acute respiratory failure. The patient was treated successfully with a combination of mechanical hyperventilation and mannitol. The clinical presentation, pathogenesis, prevention and treatment of the entity are discussed.
AuthorsV DiFresco, M Landman, B L Jaber, A C White
JournalIntensive care medicine (Intensive Care Med) Vol. 26 Issue 5 Pg. 628-30 (May 2000) ISSN: 0342-4642 [Print] United States
PMID10923740 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Diuretics, Osmotic
  • Mannitol
Topics
  • Acute Disease
  • Adult
  • Brain Edema (complications, etiology)
  • Diuretics, Osmotic (therapeutic use)
  • Female
  • Humans
  • Intensive Care Units
  • Mannitol (therapeutic use)
  • Renal Dialysis (adverse effects)
  • Respiration, Artificial
  • Respiratory Insufficiency (etiology, therapy)
  • Syndrome
  • Treatment Outcome

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