A case of serious organophosphate poisoning treated by percutaneus cardiopulmonary support.
We report a case of respiratory arrest, refractory circulatory collapse, and severe hypothermia following ingestion of an organophosphate insecticide. In addition to conventional management, including mechanical ventilation, administration of vasopressors, enteral lavage, charcoal hemoperfusion and administration of antidotes, extracorporeal cardiopulmonary support in the form of percutaneous cardiopulmonary support was successfully employed. Percutaneous cardiopulmonary support may be used for severe but potentially reversible pulmonary or cardiovascular toxicity induced by organophosphates as well as complicated severe hypothermia.
Kamijo
Y
Y
Department of Emergency and Critical Care Medicine, Kitasato University, School of Medicine, Kanagawa, Japan.
Soma
K
K
Uchimiya
H
H
Asari
Y
Y
Ohwada
T
T
D005112:Extracorporeal Circulation; D005260:Female; D005278:Fenitrothion / Q000097:blood; D006801:Humans; D007035:Hypothermia / Q000209:etiology / Q000628:therapy*; D008875:Middle Aged; D062025:Organophosphate Poisoning; D011041:Poisoning / Q000175:diagnosis / Q000628:therapy*; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy*; D012769:Shock / Q000209:etiology / Q000628:therapy*
D005278:Fenitrothion