title: Successful Extracorporeal Life Support in a Case of Severe Glyphosate-Surfactant Intoxication.
abstract: OBJECTIVE
  To describe the experience of emergency extracorporeal membrane oxygenation in treating life-threatening glyphosate-surfactant intoxication.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Emergency department and ICU.
  
  
  METHODS
  A patient with cardiopulmonary failure after glyphosate-surfactant intoxication.
  
  
  METHODS
  Extracorporeal membrane oxygenation.
  
  
  METHODS
  A 47-year-old man presented with mildly decreased consciousness in our emergency department after ingesting approximately 100 mL of glyphosate-surfactant 1.5 hours previously. Respiratory failure, persistent ventricular tachycardia, profound shock refractory to inotropic agents, and metabolic acidosis developed in the patient within 2 hours. Extracorporeal membrane oxygenation was applied within 4 hours of cardiopulmonary failure. The patient's condition improved considerably. He was transferred to the general ward on the eighth day with stable hemodynamic status and complete neurological recovery.
  
  
  CONCLUSIONS
  On the basis of our research, this was the first case in which extracorporeal membrane oxygenation was used to treat severe glyphosate-surfactant intoxication. We recommend early initiation of extracorporeal membrane oxygenation therapy to mitigate cardiopulmonary compromise in patients with glyphosate-surfactant intoxication.
authors.affiliation: 1Department of Emergency Medicine, Chang Gung Memorial Hospital, Keelung Branch, Keelung, Taiwan.2College of Medicine, Chang Gung University, Taoyuan, Taiwan.3Department of Emergency Medicine, Taoyuan Armed Forces General Hospital, Taoyuan, Taiwan.4Department of Emergency Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
authors.forename: Cheng-Wei
authors.initials: CW
authors.lastname: Chan
authors.forename: I-Lin
authors.initials: IL
authors.lastname: Wu
authors.forename: Ching-Hsing
authors.initials: CH
authors.lastname: Lee
authors.forename: Shou-Chien
authors.initials: SC
authors.lastname: Hsu
authors.forename: Shu-Chen
authors.initials: SC
authors.lastname: Liao
mesh_terms: D004638:Emergency Treatment; D015199:Extracorporeal Membrane Oxygenation; D005998:Glycine / Q000031:analogs & derivatives* / Q000506:poisoning; D006540:Herbicides / Q000506:poisoning*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011041:Poisoning / Q000628:therapy; D012074:Remission Induction; D012720:Severity of Illness Index; D000097797:Glyphosate
chemical_list: D005998:Glycine; D006540:Herbicides; D000097797:Glyphosate