A successful treatment with intravenous lipid emulsion therapy in a child with verapamil poisoning.

Autor: Havan M; Department of Pediatric Intensive Care, School of Medicine, Ankara University, Ankara, Turkey., Kendirli T; Department of Pediatric Intensive Care, School of Medicine, Ankara University, Ankara, Turkey., Özcan S; Department of Pediatric Intensive Care, School of Medicine, Ankara University, Ankara, Turkey., Doğan MT; Department of Pediatric Cardiology, School of Medicine, Ankara University, Ankara, Turkey., Yiğit AO; Department of Pediatric Intensive Care, School of Medicine, Ankara University, Ankara, Turkey., Uçar T; Department of Pediatric Cardiology, School of Medicine, Ankara University, Ankara, Turkey.
Jazyk: angličtina
Zdroj: Turkish journal of emergency medicine [Turk J Emerg Med] 2021 Oct 29; Vol. 21 (4), pp. 217-220. Date of Electronic Publication: 2021 Oct 29 (Print Publication: 2021).
DOI: 10.4103/2452-2473.329626
Abstrakt: In recent years, intravenous lipid emulsion therapy (ILE) was used for lipophilic drug intoxications, and successful results were obtained. In the literature, there is a small number of reported cases about verapamil intoxication and ILE therapy in the pediatric age group. We used ILE therapy in a 14-year-old girl with verapamil intoxication in the 2 nd h of the pediatric intensive care unit stay, before using traditional treatments such as glucagon and hyperinsulinemic euglycemia. She had resistant bradycardia and hypotension which was unresponsive to inotropic agents and a successful result was obtained after using ILE treatment. We believe our report may contribute to the early use of ILE therapy for toxicity with calcium channel blockers such as verapamil in pediatric patients.
Competing Interests: Conflicts of interest None Declared.
(Copyright: © 2021 Turkish Journal of Emergency Medicine.)
Databáze: MEDLINE