Case Report
Copyright ©The Author(s) 2025.
World J Clin Cases. Sep 6, 2025; 13(25): 104742
Published online Sep 6, 2025. doi: 10.12998/wjcc.v13.i25.104742
Table 1 Test results and parameters
Test
Result
Blood urea72 mg/dL
Serum creatinine3.8 mg/dL
eGFR36 mL/minute/1.73 m2
HbA1c7.2
CBC, LFT, coagulation, echo, dopplerWithin normal limits
Urinalysis (protein, sugar)Normal
Vital signsBP: 122/68 mmHg, HR: 72 bpm, RR: 15, SpO2: 92%
ABGpH: 7.25 (mild respiratory acidosis)
CT & MRI brainCortical atrophy, lacunar infarcts
CT pulmonary angiographyNo embolism or pneumonitis
EchocardiogramNormal
Doppler (lower limbs)No DVT
Tramadol level1.8 mg/L (elevated; normal: 0.1-0.8 mg/L)
Table 2 Intensive care unit interventions and parameters
Intervention
Details
Intubation & ventilationSIMV mode, PEEP 6, FiO2 60%, VT: 550
Opioid reversalBuprenorphine patch removed, naloxone on standby
DiuresisIV frusemide 40 mg BID
RecoveryGCS improved to 15/15 within 48 hours
Extubation & mobilizationPOD 6
Pain management post-recoveryParacetamol 1 g Q8H, pregabalin 75 mg QHS
DischargePOD 10, stable vitals, no respiratory distress