Treatment of calcium channel blocker intoxication with insulin infusion: Case report and literature review

Resuscitation

Volumn 57, Issue 2, 2003, Pages 211-213

  Marques, Irene ^a   Gomes, Ernestina ^a   De Oliveira, Júlio ^a  

^a HOSPITAL DE SANTO ANTÓNIO   (Portugal)

Author keywords

Calcium channel blocker; Insulin; Intoxication; Shock

Indexed keywords

ANTIDIABETIC AGENT; CALCIUM CHANNEL BLOCKING AGENT; CALCIUM CHLORIDE; DILTIAZEM; DOBUTAMINE; DOPAMINE; GLUCAGON; GLUCONATE CALCIUM; GLUCOSE; HYPERTENSIVE FACTOR; INSULIN; NORADRENALIN;

AGED; ARTICLE; CASE REPORT; CLINICAL FEATURE; DRUG INTOXICATION; EMERGENCY TREATMENT; FEMALE; FLUID THERAPY; GLUCOSE INFUSION; HEMODYNAMICS; HUMAN; HYPOTENSION; INFUSION; INSULIN INFUSION; INTENSIVE CARE; INTOXICATION; MEAN ARTERIAL PRESSURE; NONHUMAN; PRIORITY JOURNAL; SHOCK; TREATMENT OUTCOME;

EID: 0038397588     PISSN: 03009572     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0300-9572(03)00026-1     Document Type: Article

References (6)

1. Boyer W.E., Shannon M. Treatment of calcium-channel-blocker intoxication with insulin infusion. N. Engl. J. Med. 344:2001;1721-1722.
2. Yuan T.H., Kerns W.P. II, Tomaszewski C.A., Ford M.D., Kline J.A. Insulin-glucose as adjunctive therapy for severe calcium channel antagonism poisoning. J. Toxicol. Clin. Toxicol. 37:1999;463-474.
3. Kokan L., Heard K. Calcium channel-blocking drugs. Dart R.C. The 5 minute toxicology consult. 2000;290-291 Lippincott Williams and Wilkins, Philadelphia.
4. Sachithananda D.K., Stone D.L., Chauhan A., Ritchie A.J. Unrecognised accidental overdose with diltiazem. BMJ. 321:2000;160-161.
5. Kline J.A., Leonova E., Raymond R.M. Beneficial myocardial metabolic effects of insulin during verapamil toxicity in the anaesthetized canine. Crit. Care Med. 23:1995;1251-1263.
6. Albertson T.E., et al. TOX-ACLS: toxicologic-oriented advanced cardiac life support. Ann. Emerg. Med. 37:2001;S82-S83.