Document Detail


Early experience with magnesium administration in Irukandji syndrome.
MedLine Citation:
PMID:  15535491     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The administration of magnesium sulphate is a proposed novel therapy for Irukandji syndrome'. In this non-randomized, unblinded case series, data from ten patients who received magnesium salts are reviewed. Magnesium sulphate boluses of 10 to 20 mmol, in the six patients for which there was adequate data, reduced pain scores immediately after administration from 8.7+/-1.5 to 2.8+/-2.8 (Wilcoxon rank-sum test, P=0.03). In ten patients blood pressure decreased with a mean difference of -18 mmHg in mean arterial pressure. Magnesium requirements in individual patients varied markedly. Pain on injection occurred in four patients, three of whom had received peripherally administered magnesium chloride, and one patient reported transient ptosis after administration of magnesium sulphate 166 mmol over 18 hours in the setting of severe Irukandji syndrome. Magnesium sulphate administration appears to attenuate pain and hypertension in Irukandji syndrome and warrants further evaluation in this setting.
Authors:
M Corkeron; P Pereira; C Makrocanis
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Anaesthesia and intensive care     Volume:  32     ISSN:  0310-057X     ISO Abbreviation:  Anaesth Intensive Care     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-11-10     Completed Date:  2005-01-27     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0342017     Medline TA:  Anaesth Intensive Care     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  666-9     Citation Subset:  IM    
Affiliation:
Intensive Care Unit, The Townsville Hospital, Queensland.
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MeSH Terms
Descriptor/Qualifier:
Animals
Australia
Bites and Stings / complications*
Cnidarian Venoms*
Cubozoa*
Drug Administration Schedule
Female
Humans
Infusions, Intravenous
Magnesium Sulfate / therapeutic use*
Male
Pain / drug therapy*,  etiology
Pain Measurement
Prospective Studies
Risk Assessment
Sampling Studies
Syndrome
Treatment Outcome
Chemical
Reg. No./Substance:
0/Cnidarian Venoms; 7487-88-9/Magnesium Sulfate
Comments/Corrections
Comment In:
Anaesth Intensive Care. 2005 Aug;33(4):541-2   [PMID:  16119507 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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