Key result
Hyperinsulinaemic euglycaemic therapy stabilized a 62-year-old female with catecholamine-resistant shock secondary to neurogenic stunned myocardium following subarachnoid haemorrhage.
Case Report (n=1)
Hyperinsulinaemic euglycaemic therapy may serve as a viable rescue therapy for life-threatening catecholamine-resistant shock secondary to neurogenic stunned myocardium.
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Hyperinsulinaemic euglycaemic therapy may rescue catecholamine-resistant neurogenic stunned myocardium; this single case leaves open its efficacy and safety.
We present a 62-year-old female who collapsed with a subarachnoid haemorrhage. This was complicated by profound shock secondary to neurogenic stunned myocardium. As the patient demonstrated life-threatening catecholamine-resistant shock that was unresponsive to conventional treatment measures, hyperinsulinaemic euglycaemic therapy was utilised as a rescue therapy. To our knowledge this has not previously been described in the literature. The patient proceeded to stabilise and made a good recovery.
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Chandler et al. (2018) conducted a case report in Subarachnoid haemorrhage complicated by profound shock secondary to neurogenic stunned myocardium (n=1). Hyperinsulinaemic euglycaemic therapy was evaluated on Patient stabilisation and recovery. Hyperinsulinaemic euglycaemic therapy stabilized a 62-year-old female with catecholamine-resistant shock secondary to neurogenic stunned myocardium following subarachnoid haemorrhage.
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