[Ventricular fibrillation following deodorant spray inhalation].
We report one case of out-of-hospital cardiac arrest with ventricular fibrillation following butane poisoning after inhalation of antiperspiration aerosol. An early management using semi-automatic defibrillator explained the success of the resuscitation. The mechanism of butane toxicity could be an increased sensitivity of cardiac receptors to circulating catecholamines, responsible for cardiac arrest during exercise and for resuscitation difficulties. The indication of epinephrine is discussed.
D000293:Adolescent; D000336:Aerosols; D002073:Butanes / Q000008:administration & dosage / Q000633:toxicity*; D016887:Cardiopulmonary Resuscitation; D003131:Combined Modality Therapy; D003836:Deodorants / Q000633:toxicity*; D004554:Electric Countershock; D004632:Emergency Medical Services; D006323:Heart Arrest / Q000209:etiology* / Q000628:therapy; D006801:Humans; D019570:Inhalation Exposure; D007442:Intubation, Intratracheal; D008297:Male; D019966:Substance-Related Disorders / Q000150:complications*; D014693:Ventricular Fibrillation / Q000139:chemically induced* / Q000150:complications
D000336:Aerosols; D002073:Butanes; D003836:Deodorants; C046888:butane
Fibrillation ventriculaire par inhalation de spray déodorant.