Kurozumi Natsuko, Fujita Nobuko, Kaneko Takuto, Shinoda Maiko, Abe Seiki
Anesthesiology, St. Luke's International Hospital, Tokyo, JPN.
Cureus. 2023 Jun 26;15(6):e41004. doi: 10.7759/cureus.41004. eCollection 2023 Jun.
Neurogenic shock in patients with spinal cord injuries can be fatal. Catecholamines are commonly used for the management of neurogenic shock; however, the treatment of catecholamine-refractory neurogenic shock remains challenging. A 78-year-old woman with neurogenic shock from cervical cord injury underwent posterior cervical spine decompression and fixation. The patient's blood pressure could not be maintained with catecholamine administration throughout the surgery. Therefore, indigo carmine was administered, and an effective increase in blood pressure was achieved. The postoperative course was uneventful. The findings from this case indicate that indigo carmine may have an effective vasoconstrictive action in patients with neurogenic shock who do not respond to catecholamines.
脊髓损伤患者发生的神经源性休克可能是致命的。儿茶酚胺常用于治疗神经源性休克；然而，治疗对儿茶酚胺难治的神经源性休克仍然具有挑战性。一名78岁因颈髓损伤导致神经源性休克的女性接受了颈椎后路减压固定术。在整个手术过程中，给予儿茶酚胺后患者血压仍无法维持。因此，给予了靛胭脂，血压有效升高。术后过程顺利。该病例的结果表明，靛胭脂可能对儿茶酚胺无反应的神经源性休克患者具有有效的血管收缩作用。
