A case report of protamine shock during aortic valve replacement in a patient with diabetes mellitus treated with neutral protamine hagedorn insulin

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  • Suzuki Hiroaki
    Department of Anesthesiology, Dokkyo Medical University, Koshigaya Hospital
  • Tateura Nao
    Department of Anesthesiology, Dokkyo Medical University, Koshigaya Hospital
  • Arai Takero
    Department of Anesthesiology, Dokkyo Medical University, Koshigaya Hospital
  • Okuda Yasuhisa
    Department of Anesthesiology, Dokkyo Medical University, Koshigaya Hospital

Bibliographic Information

Other Title
  • プロタミン含有インスリンで治療中の糖尿病患者の大動脈弁置換術中にプロタミンショックが疑われた1例
  • 症例報告 プロタミン含有インスリンで治療中の糖尿病患者の大動脈弁置換術中にプロタミンショックが疑われた1例
  • ショウレイ ホウコク プロタミン ガンユウ インスリン デ チリョウ チュウ ノ トウニョウビョウ カンジャ ノ ダイドウミャクベン チカン ジュッチュウ ニ プロタミンショック ガ ウタガワレタ 1レイ

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Description

<p> A patient with diabetes mellitus treated with neutral protamine hagedorn insulin was scheduled for open heart surgery. During the procedure, she experienced shock after the protamine infusion. Therefore, we attempted cardiopulmonary resuscitation and promptly resumed the cardiopulmonary bypass procedure, after which the patient recovered from her illness with no complications.</p><p> Patients receiving protamine infusions should be closely monitored, and resuscitation must be promptly attempted should they develop shock.</p>

Journal

  • Cardiovascular Anesthesia

    Cardiovascular Anesthesia 20 (1), 65-68, 2016

    Japanese Society of Cardiovascular Anesthesiologists

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