RESUMO
The surviving sepsis campaign developed guidelines in 2003 that were designed to increase physician awareness of sepsis and to develop a series of recommendations for the management of the patient with sepsis. The guidelines had the support of 11 international professional organisations across a variety of specialties, and advocate aggressive, early goal-oriented resuscitation in appropriate patients.
Assuntos
Medicina de Emergência/métodos , Oxigenoterapia , Sepse/prevenção & controle , Transfusão de Sangue , Cateterismo , Protocolos Clínicos , Emergências , Hidratação , Humanos , Seleção de Pacientes , Ressuscitação/métodos , Reino Unido , Vasodilatadores/uso terapêuticoRESUMO
Paracetamol overdose is a common reason for presentation to the emergency department and N-acetylcysteine is frequently used in the treatment of toxic paracetamol ingestions. Adverse reactions to N-acetylcysteine are common though usually mild and easily treated. Serious reactions to N-acetylcysteine however, are rare and there have been no previous reported fatalities with its therapeutic use. This report describes the case of a 40 year old brittle asthmatic patient who died after treatment with intravenous N-acetylcysteine. Asthma is a risk factor for adverse reactions to N-acetylcysteine and special caution should be exercised in its use in brittle asthmatic patients.
