[Cardiogenic shock following yew needle poisoning : Digoxin immune fab, va-ECMO and albumin dialysis for the treatment of a suicidal yew leaf poisoning].

4区医学 Q3 Medicine

Anaesthesist Pub Date : 2022-03-01 Epub Date: 2021-10-04 DOI:10.1007/s00101-021-01048-w

Jonas Ajouri, R M Muellenbach, C B Rolfes, K Weber, F Schuppert, A A Peivandi, C Reyher

引用次数: 3

Abstract

We present the case of a 46-year-old male who developed refractory bradycardia with cardiogenic shock after attempting suicide by ingestion of yew leaves. Due to delayed availability of the Digoxin immune fab, a va-ECMO was established to maintain sufficient circulation. Administration of the digoxin fab resulted in recovery of spontaneous circulation. Continuous venovenous hemodiafiltration with hemoadsorption and albumin dialysis were initiated with the intention to remove immune fab-toxin complexes and as organ support in acute kidney and liver failure. Within 5 days the patient was successfully weaned from ECMO, liver support and renal replacement and discharged without physical sequelae.

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[红豆杉针中毒后的心源性休克:地高辛免疫fab、va-ECMO和白蛋白透析治疗自杀性红豆杉叶中毒]。

我们提出的情况下，一个46岁的男性谁发展难治性心动过缓与心源性休克后，企图自杀的紫杉叶。由于地高辛免疫fab的延迟可用性，建立了va-ECMO以维持足够的循环。地高辛fab的使用导致了自发循环的恢复。持续静脉静脉血液滤过与血液吸附和白蛋白透析的目的是清除免疫fab-毒素复合物和器官支持急性肾和肝衰竭。5天内，患者成功脱离ECMO、肝支持和肾脏替代，出院时无身体后遗症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Anaesthesist 医学-麻醉学

CiteScore

1.60

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： Der Anaesthesist is an internationally recognized journal dealing with all aspects of anaesthesia and intensive medicine up to pain therapy. Der Anaesthesist addresses all specialists and scientists particularly interested in anaesthesiology and it is neighbouring areas. Review articles provide an overview on selected topics reflecting the multidisciplinary environment including pharmacotherapy, intensive medicine, emergency medicine, regional anaesthetics, pain therapy and medical law. Freely submitted original papers allow the presentation of relevant clinical studies and serve the scientific exchange. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.