[Suicidal Tachmalcor poisoning--a case report].
In a case report, a Tachmalcor intoxication with a dose of 18 mg/kg body weight is described. This dose caused a ventricular flutter in the patient which lasted for a total of 10 hours, despite intensive treatment. The treatment began approximately three hours after the intoxication and concentrated on therapy of the ventricular tachycardia. The use of Xylocitin 2%, defibrillation, glucagon and sodium chloride is recommended with such symptoms. Additionally, we used hemoperfusion for drug elimination. Despite the cardiac rhythm disorder of such duration, no neurological deficiencies were observed in the patient. Intoxications caused by these drugs in normal intensive therapies are extremely rare and for this reason treatment can often be very problematic. The following article reports on the successful therapy of one such patient.
Möbis
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Klinik für Anästhesiologie und Intensivtherapie, Klinikums Frankfurt/Oder.
Minz
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D000328:Adult; D000404:Ajmaline / Q000031:analogs & derivatives* / Q000506:poisoning; D000889:Anti-Arrhythmia Agents / Q000506:poisoning*; D003422:Critical Care; D004305:Dose-Response Relationship, Drug; D062787:Drug Overdose / Q000628:therapy*; D006323:Heart Arrest / Q000139:chemically induced / Q000628:therapy; D006801:Humans; D013406:Suicide, Attempted
D000889:Anti-Arrhythmia Agents; D000404:Ajmaline; C036103:detajmium