Journal article
Massive diltiazem and metoprolol overdose rescued with extracorporeal life support
The American journal of emergency medicine, Vol.35(10), pp.1581.e3-1581.e5
10/01/2017
DOI: 10.1016/j.ajem.2017.07.023
PMID: 28705745
Abstract
The management of over doses of cardioactive medications in the emergency department can be challenging. The reversal of severe toxicity from one or more types of cardioactive medication may failmaximal medical therapies and require extreme invasive measures such as transvenous cardiac pacing and extracorporeal life support. We present a case of massive diltiazem and metoprolol overdose refractory to maximal medical therapy, including intravenous calcium, glucagon, vasopressors, high dose insulin, and lipid emulsion. The patient experienced refractory bradydysrhythmia that responded only to transvenous pacing. Extracorporeal life support was initiated and resulted in successful organ perfusion and complete recovery of the patient. This case highlights the potential utility of extracorporeal life support in cases of severe toxicity due to multiple cardioactive medications. (C) 2017 Elsevier Inc. All rights reserved.
Details
- Title: Subtitle
- Massive diltiazem and metoprolol overdose rescued with extracorporeal life support
- Creators
- James A. Chenoweth - University of California Davis Medical CenterDaniel K. Colby - University of California, DavisMark E. Sutter - University of California, DavisJoshua B. Radke - University of Iowa Hospitals and ClinicsJonathan B. Ford - University of California, DavisJ. Nilas Young - University of California Davis Medical CenterJohn R. Richards - University of California Davis Medical Center
- Resource Type
- Journal article
- Publication Details
- The American journal of emergency medicine, Vol.35(10), pp.1581.e3-1581.e5
- Publisher
- Elsevier
- DOI
- 10.1016/j.ajem.2017.07.023
- PMID
- 28705745
- ISSN
- 0735-6757
- eISSN
- 1532-8171
- Number of pages
- 3
- Language
- English
- Date published
- 10/01/2017
- Academic Unit
- Emergency Medicine
- Record Identifier
- 9984297144402771
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