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A fatal case of acute bentazone overdose despite cricothyroidotomy during cardiopulmonary resuscitation
Clinical and Experimental Emergency Medicine ; (4): 254-257, 2017.
Article Dans Anglais | WPRIM | ID: wpr-648788
ABSTRACT
Bentazone is classified as a moderately hazardous (class II) herbicide by the World Health Organization. A 53-year-old Korean woman was transferred to the emergency department after a suicide attempt using approximately 500 mL of bentazone one hour prior to admission. Upon admission, she was alert and tachycardia of 125/min was observed. She was treated with gastric lavage and activated charcoal, during which she experienced diarrhea. Two hours after bentazone ingestion, cardiac arrest and muscle rigidity throughout the body occurred. Cardiopulmonary resuscitation was immediately started. Endotracheal intubation after administration of a muscle relaxant (succinylcholine) was unsuccessful because of temporomandibular joint muscle rigidity. Surgical cricothyroidotomy was performed by the emergency physician, but the patient was not resuscitated. For cardiac arrest patients with muscle rigidity caused by bentazone overdose, endotracheal intubation may be challenging because of muscle rigidity, despite appropriate use of muscle relaxants. Early surgical cricothyroidotomy may be the preferred method of airway management in these patients.
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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Suicide / Tachycardie / Articulation temporomandibulaire / Organisation mondiale de la santé / Charbon de bois / Réanimation cardiopulmonaire / Issue fatale / Diarrhée / Consommation alimentaire / Urgences Limites du sujet: Femelle / Humains langue: Anglais Texte intégral: Clinical and Experimental Emergency Medicine Année: 2017 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Suicide / Tachycardie / Articulation temporomandibulaire / Organisation mondiale de la santé / Charbon de bois / Réanimation cardiopulmonaire / Issue fatale / Diarrhée / Consommation alimentaire / Urgences Limites du sujet: Femelle / Humains langue: Anglais Texte intégral: Clinical and Experimental Emergency Medicine Année: 2017 Type: Article