![](/images/graphics-bg.png)
An Unusual Case of Refractory Hypoxia on the ICU
Joint Authors
Phillips, Caroline
Harris, Clare
Broughton, Nathaniel
Pulimood, Thomas
Ring, Liam
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-04-17
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
We present the case of a 68-year-old gentleman who presented with breathlessness and was found to have NSTEMI, pulmonary oedema, and hypoxia.
He remained hypoxic despite appropriate treatment and was found to have preserved LV function and raised cardiac output.
CT pulmonary angiogram was negative but a cirrhotic liver was incidentally noted and later confirmed via ultrasound.
Bedside examination was positive for orthodeoxia, suggesting a diagnosis of hepatopulmonary syndrome (HPS).
The finding of significant intrapulmonary shunting on “bubble” echocardiography confirmed the diagnosis.
This patient did not have previously diagnosed liver disease and had largely normal LFTs when the diagnosis was first suspected.
We discuss HPS in the context of ICU and suggest how it may be screened for using simple tests.
There is no correlation between the presence of HPS and severity of liver disease, yet we believe this is the first reported adult case of HPS on the ICU without previously diagnosed cirrhosis.
American Psychological Association (APA)
Phillips, Caroline& Harris, Clare& Broughton, Nathaniel& Pulimood, Thomas& Ring, Liam. 2018. An Unusual Case of Refractory Hypoxia on the ICU. Case Reports in Critical Care،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1141550
Modern Language Association (MLA)
Phillips, Caroline…[et al.]. An Unusual Case of Refractory Hypoxia on the ICU. Case Reports in Critical Care No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1141550
American Medical Association (AMA)
Phillips, Caroline& Harris, Clare& Broughton, Nathaniel& Pulimood, Thomas& Ring, Liam. An Unusual Case of Refractory Hypoxia on the ICU. Case Reports in Critical Care. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1141550
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1141550