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ID 115792
Title Alternative
Immobilization hypercalcemia during prolonged respiratory management for ARDS : A case report
不動に伴う高Calcium血症を呈したARDS患者
Author
Takashima, Takuya Tokushima University
Nishikawa, Marie Omihachiman Municipal Medical Center
Keywords
Immobilization
Hypercalcemia
Intensive care
Content Type
Journal Article
Description
Immobilization hypercalcemia is a rare complication in critically ill patients and causes weakness and gastrointestinal symptoms, symptoms that may lead to delayed rehabilitation and mobilization. A45-year-old woman developed ARDS and received prolonged mechanical ventilation. She received deep sedation to control excessive inspiratory effort and agitation until the 10th day. She developed hypercalcemia, which induced nausea and vomiting, on the fifth day. It was difficult to implement early physical rehabilitation and mobilization due to hypercalcemic symptoms. She was diagnosed with immobilization hypercalcemia and received alendronate sodium and elcatonin. The serum corrected calcium rapidly normalized and nausea disappeared after these drugs administration. After that, she underwent rehabilitation and was liberated from mechanical ventilation on the 63rd day. For the diagnosis of immobilization hypercalcemia, it is important to recognize risk factors such as long-term immobility, obesity, and an internal history of antiestrogens preparation. We should consider pharmacological intervention if it is difficult to implement early rehabilitation and mobilization due to symptoms of hypercalcemia.
Journal Title
Shikoku Acta Medica
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
76
Issue
5-6
Start Page
307
End Page
310
Sort Key
307
Published Date
2020-12-25
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital
Medical Sciences