| Acute magnesium toxicity in an obstetric patient undergoing general anaesthesia for caesarean delivery. | |
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MedLine Citation:
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PMID: 20219345 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Magnesium is commonly used in the prevention of eclampsia. Reports of acute toxicity are rare and we are not aware of detailed management algorithms. We present a case of acute magnesium toxicity presenting as ventilatory impairment and failure to rouse adequately from general anaesthesia. The patient was managed with controlled ventilation, further sedation, intravenous calcium gluconate, forced diuresis and dextrose-insulin infusion. We present a guideline for the management of life-threatening magnesium toxicity and discuss measures that may prevent future similar occurrences. |
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Authors:
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N J McDonnell; N A Muchatuta; M J Paech |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-03-09 |
Journal Detail:
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Title: International journal of obstetric anesthesia Volume: 19 ISSN: 1532-3374 ISO Abbreviation: Int J Obstet Anesth Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-03-29 Completed Date: 2010-12-27 Revised Date: 2011-01-28 |
Medline Journal Info:
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Nlm Unique ID: 9200430 Medline TA: Int J Obstet Anesth Country: Netherlands |
Other Details:
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Languages: eng Pagination: 226-31 Citation Subset: IM |
Copyright Information:
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Crown Copyright 2009. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of Anaesthesia and Pain Medicine, King Edward Memorial Hospital for Women, Perth, Western Australia, Australia. nolan.mcdonnell@health.wa.gov.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Algorithms Anesthesia, General / methods* Anesthesia, Obstetrical / methods* Cesarean Section Female Humans Magnesium Sulfate / administration & dosage, poisoning* Medication Errors* Pre-Eclampsia / drug therapy* Pregnancy Respiratory Insufficiency / chemically induced*, therapy Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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7487-88-9/Magnesium Sulfate |
| Comments/Corrections | |
Comment In:
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Int J Obstet Anesth. 2011 Jan;20(1):92-3
[PMID:
21134738
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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