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Severe non-ketotic hyperosmolar coma — intensive care management

Published online by Cambridge University Press:  16 August 2006

S. Gupta ,
M. R. Prabhu ,
M. S. Gupta  and
D. Niblett
S. Gupta
Affiliation:
Department of Anaesthesia, Bedford Hospital, Kempston Road, Bedford MK42 9DJ, UK
M. R. Prabhu
Affiliation:
Department of Anaesthesia, Bedford Hospital, Kempston Road, Bedford MK42 9DJ, UK
M. S. Gupta
Affiliation:
Department of Anaesthesia, Bedford Hospital, Kempston Road, Bedford MK42 9DJ, UK
D. Niblett
Affiliation:
Department of Anaesthesia, Bedford Hospital, Kempston Road, Bedford MK42 9DJ, UK
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Abstract

We report a case of non-ketotic hyperosmolar coma, which presented with blood sugar levels far exceeding any previously recorded in the literature. The patient developed acute renal failure, probably because of rhabdomyolysis, which was successfully managed with continuous veno-venous haemofiltration. He developed blurring of vision resulting from biochemical changes, which was managed conservatively. We discuss the mechanisms of causation of the renal failure and visual blurring.

Keywords

non-ketotic hyperosmolar comarhabdomyolysisrenal failureblurring of vision
Type
Case Report
Information
European Journal of Anaesthesiology , Volume 15 , Issue 5 , September 1998 , pp. 603 - 606
Copyright
1998 European Society of Anaesthesiology

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