Tricyclic antidepressant overdose treated with adjunctive lipid rescue and plasmapheresis.

Autor: Odigwe CC; Department of Medicine, St. Joseph Hospital, Chicago, Illinois., Tariq M; Department of Medicine, St. Joseph Hospital, Chicago, Illinois., Kotecha T; Department of Medicine, St. Joseph Hospital, Chicago, Illinois., Mustafa U; Department of Medicine, St. Joseph Hospital, Chicago, Illinois., Senussi N; Department of Medicine, St. Joseph Hospital, Chicago, Illinois., Ikwu I; Department of Medicine, St. Joseph Hospital, Chicago, Illinois., Bhattarcharya A; Department of Medicine, St. Joseph Hospital, Chicago, Illinois., Ngene JI; Department of Medicine, St. Joseph Hospital, Chicago, Illinois., Ojiako K; Department of Medicine, St. Joseph Hospital, Chicago, Illinois., Iroegbu N; Department of Medicine, St. Joseph Hospital, Chicago, Illinois.
Jazyk: angličtina
Zdroj: Proceedings (Baylor University. Medical Center) [Proc (Bayl Univ Med Cent)] 2016 Jul; Vol. 29 (3), pp. 284-7.
DOI: 10.1080/08998280.2016.11929437
Abstrakt: Tricyclic antidepressant poisoning remains a major cause of morbidity and mortality, particularly in the setting of suicidal attempts. The current standard of care for treatment is the administration of sodium bicarbonate infusion. Adjunctive lipid emulsion therapy and plasmapheresis have received attention recently. We report an 18-year-old patient who was successfully managed with lipid emulsion and plasmapheresis as adjuncts to sodium bicarbonate treatment and review some of the recent literature.
Databáze: MEDLINE