Document Detail


Near-fatal betaxolol self-poisoning treated with percutaneous extracorporeal life support.
MedLine Citation:
PMID:  17496693     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present a case of successful treatment of near-fatal beta-blocker self-poisoning but requiring extracorporeal circulatory support with severe complications. A 38-year-old woman ingested a mixture of tablets including betaxolol (5.32 g). Despite intensive treatment with fluid, dobutamine, isoprenaline, epinephrine, nor-epinephrine and glucagon, sustained cardiogenic shock occurred with almost complete hypokinesia of the left ventricular 14 h later. Therefore, a cardiac support was performed with a percutaneous cardiopulmonary bypass device at bedside. We review the literature with emphasis on both the best time to start this technique and its complications.
Authors:
Pascal Bilbault; Sophie Pynn; Cyrille Mathien; Jean P Mazzucotelli; Francis Schneider; A Jaeger
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Publication Detail:
Type:  Case Reports; Letter    
Journal Detail:
Title:  European journal of emergency medicine : official journal of the European Society for Emergency Medicine     Volume:  14     ISSN:  0969-9546     ISO Abbreviation:  Eur J Emerg Med     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-05-14     Completed Date:  2007-06-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9442482     Medline TA:  Eur J Emerg Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  120-2     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Betaxolol / poisoning*
Extracorporeal Membrane Oxygenation*
Female
Hemodiafiltration
Humans
Kidney Failure, Acute / etiology,  therapy
Poisoning / therapy
Shock, Cardiogenic / etiology,  therapy
Chemical
Reg. No./Substance:
63659-18-7/Betaxolol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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