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Dialysis disequilibrium syndrome: an unusual cause of respiratory failure in the medical intensive care unit

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Abstract

We describe a case of the dialysis disequilibrium syndrome (DDS) that was marked by the rapid onset of cerebral edema and the subsequent development of acute respiratory failure. The patient was treated successfully with a combination of mechanical hyperventilation and mannitol. The clinical presentation, pathogenesis, prevention and treatment of the entity are discussed.

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Authors and Affiliations

  1. Department of Medicine, New England Medical Center, Tufts University School of Medicine, Tupper Research Institute, Boston, MA 02111, USA, , , , , , GB

    V. DiFresco

  2. Division of Nephrology, New England Medical Center, Tufts University School of Medicine, Tupper Research Institute, Boston, MA 02111, USA, , , , , , GB

    M. Landman & B. L. Jaber

  3. Division of Pulmonary and Critical Care, New England Medical Center, 750 Washington Street, NEMC #128, Boston, MA 02111, USA e-mail: alex.white@es.nemc.org Tel.: + 1-6 17-6 36 13 53 Fax: + 1-6 17-6 36 59 53, , , , , , GB

    A. C. White

Authors
  1. V. DiFresco
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  2. M. Landman
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  3. B. L. Jaber
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  4. A. C. White
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Additional information

Received: 24 June 1999 Final revision received: 19 November 1999 Accepted: 20 January 2000

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DiFresco, V., Landman, M., Jaber, B. et al. Dialysis disequilibrium syndrome: an unusual cause of respiratory failure in the medical intensive care unit. Intensive Care Med 26, 628–630 (2000). https://doi.org/10.1007/s001340051214

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  • DOI: https://doi.org/10.1007/s001340051214

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