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Pediatric extracorporeal cardiopulmonary resuscitation settled in an emergency department for a propafenone intentional intoxication.

Authors :
Marano M
Goffredo BM
Pisani M
Filippelli S
Cecchetti C
Drago F
Barbieri MA
Nunziata J
Genuini L
Di Nardo M
Source :
The American journal of emergency medicine [Am J Emerg Med] 2018 Nov; Vol. 36 (11), pp. 2132.e1-2132.e3. Date of Electronic Publication: 2018 Aug 03.
Publication Year :
2018

Abstract

The use of drugs in suicide attempts is becoming more and more frequent among adolescents. Intentional intoxication with propafenone is very rare and mainly reported in adults associated with other drugs. The therapeutic approach is symptomatic, since there is no specific antidote for propafenone. We present a pediatric case of intentional ingestion of 1.8 g of propafenone that caused refractory cardiogenic shock. The patient was successfully rescued with extracorporeal cardiopulmonary resuscitation in the emergency department of a secondary level peripheral hospital.<br /> (Copyright © 2018 Elsevier Inc. All rights reserved.)

Details

Language :
English
ISSN :
1532-8171
Volume :
36
Issue :
11
Database :
MEDLINE
Journal :
The American journal of emergency medicine
Publication Type :
Academic Journal
Accession number :
30082186
Full Text :
https://doi.org/10.1016/j.ajem.2018.08.001