[Acute poisoning by the anticholinesterase carbamate. Role of competitive acetylcholine curare-like agents].
A case is reported of voluntary acute carbofuran poisoning. The clinical presentation was suggestive and i.v. atropine sulphate was immediately administered. In the absence of a specific antidote, curarization with pancuronium bromide with assisted ventilation and diazepam sedation was used to treat the persistent nicotinic myoclonic state. No rhabdomyolysis was observed.
Service d'Anesthésie-Réanimation, Centre Hospitalier Général, Senlis.
T
T
Poirier
J M
JM
Farnos
E
E
Charpy
G
G
Meyer
M
M
Martignon
D000328:Adult; D001285:Atropine / Q000627:therapeutic use; D002219:Carbamates / Q000506:poisoning*; D002800:Cholinesterase Inhibitors / Q000506:poisoning*; D004630:Emergencies; D006801:Humans; D008297:Male; D010197:Pancuronium / Q000627:therapeutic use*; D011041:Poisoning / Q000188:drug therapy*; D012121:Respiration, Artificial
D002219:Carbamates; D002800:Cholinesterase Inhibitors; D001285:Atropine; D010197:Pancuronium
Intoxication aiguë par carbamate anticholinestérasique. Place des curares acétylcholino-compétitifs.