Premium
Caffeine poisoning and lactate rise: an overlooked toxic effect?
Author(s) -
SCHMIDT A.,
KARLSONSTIBER C.
Publication year - 2008
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/j.1399-6576.2008.01680.x
Subject(s) - medicine , caffeine , metabolic acidosis , acidosis , poison control , concomitant , injury prevention , anesthesia , emergency medicine
Severe caffeine poisoning is rare but associated with a high mortality. The symptoms are mainly attributable to hyperadrenergic stimulation, are relatively well known and described in the literature. Transient rises in plasma lactate levels may occur but are, however, less well described. We present a case of serious caffeine poisoning with a concomitant rise in lactate treated with a non‐selective β‐blocker and discuss briefly the symptomatology, the management of caffeine poisoning and the association between lactate and metabolic acidosis.