[The use of extracorporeal life support and continuous venovenous haemodiafiltration in severe angiotensin converting enzyme inhibitor, calcium channel bloker and beta-blocker multidrug intoxication].
Extracorporeal membrane oxygenation (ECMO) is an established method of treatment for extremely severe respiratory failure (ARDS, acute respiratory distress syndrome), for mechanical circulatory support after cardiac surgery as well as advanced resuscitation technique in specific cases. Severe multidrug poisoning causing an acute cardiovascular insufficiency combines all of these indications. We report a case of multiple drug poisoning: ACE inhibitor (ACE-I), beta-blockers and calcium channel blockers. Acute heart failure and multiorgan failure, have been successfully cured with the concomitant use of ECMO, hemodiafiltration and oscillatory ventilation.
Wojciech
W
Stycuła
Magdalena
M
Borówka
Jerzy
J
Jarosz
Jacek
J
Kołcz
Janusz
J
Skalski
D000293:Adolescent; D000319:Adrenergic beta-Antagonists / Q000506:poisoning*; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000506:poisoning*; D002121:Calcium Channel Blockers / Q000506:poisoning*; D062787:Drug Overdose / Q000628:therapy*; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005260:Female; D006333:Heart Failure / Q000139:chemically induced / Q000628:therapy; D017583:Hemodiafiltration; D006801:Humans; D009102:Multiple Organ Failure / Q000139:chemically induced* / Q000628:therapy*; D012128:Respiratory Distress Syndrome / Q000139:chemically induced / Q000628:therapy
D000319:Adrenergic beta-Antagonists; D000806:Angiotensin-Converting Enzyme Inhibitors; D002121:Calcium Channel Blockers