Accidental poisoning with detomidine and butorphanol.
This is a case report concerning a veterinarian who spilled detomidine and butorphanol on dermatitic hands while sedating a horse. This resulted in acute poisoning from which the patient spontaneously recovered with supportive management. Veterinarians often suffer from occupational dermatitis and handle strong sedatives with no gloves while working around unpredictable animals. Thus, this group is at risk of accidental self-poisoning from this method.
Hannah
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Department of Medicine, Raigmore Hospital, Inverness, UK. neilhannah@nhs.net
D000062:Accidents, Occupational; D000328:Adult; D000818:Animals; D002077:Butorphanol / Q000008:administration & dosage / Q000506:poisoning*; D002492:Central Nervous System Depressants / Q000008:administration & dosage / Q000506:poisoning*; D009783:Dermatitis, Occupational / Q000150:complications; D005260:Female; D006736:Horses; D006801:Humans; D007093:Imidazoles / Q000008:administration & dosage / Q000506:poisoning*; D008297:Male; D018634:Veterinarians
D002492:Central Nervous System Depressants; D007093:Imidazoles; C041255:detomidine; D002077:Butorphanol