Avtor/Urednik		Remškar, Mojca; Noč, Marko; Leskovšek, Bojan; Horvat, Matija
Naslov		Profound circulatory shock following heroin overdose
Tip		članek
Vir		Resuscitation
Vol. in št.		Letnik 38
Leto izdaje		1998
Obseg		str. 51-3
Jezik		eng
Abstrakt		A 17-year-old previously healthy girl with profound circulatory shock following a heroin overdose is reported. Except for opiates no other substances and specifically no cocaine were found in the blood and urine samples. Even though the mechanism of shock is not completely understood, severe depression of left ventricular contractility seems to be the predominant reason. Acute right heart failure with decreased pulmonary capillary wedge pressure and arterial vasodilatation resulting in maldistribution of cardiac output cannot be ruled out as possible contributing factors. The shock was successfully reversed with volume loading and a high dose of dobutamine. The recovery was uneventful and the patient was discharged with normal cardiac function.
Deskriptorji		HEROIN DEPENDENCE OVERDOSE SHOCK ADOLESCENCE COMBINED MODALITY THERAPY EMERGENCIES