Open AccessSuccessful treatment of severe calcium channel blocker poisoning: a clinical case
Author(s) -
S.M. Nedashkivskyi,
D.K. Lisnyak,
G.A. Milienko,
Yu.B. Kozlovskyi,
A.D. Doroshenko
Publication year - 2021
Publication title -
medicina neotložnyh sostoânij
Language(s) - English
Resource type - Journals
eISSN - 2307-1230
pISSN - 2224-0586
DOI - 10.22141/2224-0586.17.3.2021.234812
Subject(s) - calcium channel blocker , inotrope , medicine , detoxification (alternative medicine) , intensive care unit , intensive care medicine , mechanical ventilation , intensive care , anesthesia , ventilation (architecture) , emergency department , emergency medicine , calcium , cardiology , nursing , mechanical engineering , alternative medicine , pathology , engineering
The article describes the successful experience of treating a female patient with severe poisoning by a mixture of drugs with a predominant cardiotoxic effect. The number of drugs taken was many times higher than the potentially lethal dose. Hemodynamics has been supported by vasopressors and inotropic drugs for a long time, antidotes, sorbents, detoxification agents were used. Due to inadequate spontaneous ventilation, the patient was on artificial lung ventilation for 24 days. After 26 days in the intensive care unit, she was transferred to the therapeutic department in a stable state and without neurological deficit. We believe that this material will be useful for intensive care physicians when providing emergency care to patients in such situations.