Meprobamate poisoning, hypotension and the swan-ganz catheter

@article{Eeckhout2004MeprobamatePH,
  title={Meprobamate poisoning, hypotension and the swan-ganz catheter},
  author={Erik Eeckhout and Luc P Huyghens and Bert G. Loef and Veronique Maes and Jacques Sennesael},
  journal={Intensive Care Medicine},
  year={2004},
  volume={14},
  pages={437-438}
}
A case is described in which voluntary ingestion of 72 g meprobamate (mpb) was complicated by shock ascribed to cardiac failure and vasodilation, documented by hemodynamic monitoring. Forced diuresis and cardiac inotropic support were added to the therapy. We recommend Swan-Ganz monitoring in any case of mpb overdosage associated with hypotension and suggest that forced diuresis is not contraindicated if appropriate assessment of the patient's hemodynamic condition is performed. 

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