Caffeine poisoning successfully treated by venoarterial extracorporeal membrane oxygenation and emergency hemodialysis
© 2021 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine..
BACKGROUND: Caffeine overdose can cause life-threatening circulatory failure, neurological abnormalities, and ventricular fibrillation. We report the case of a patient with caffeine poisoning who was successfully treated with early hemodialysis and venoarterial extracorporeal membrane oxygenation.
CASE PRESENTATION: A 43-year-old man who had ingested pills containing 20 g caffeine was transported to the hospital 100 min after ingestion. Hemodynamic collapse and refractory arrhythmia were most likely the potential complications. The patient developed ventricular fibrillation when placed in the left lateral decubitus position. Return of spontaneous circulation with defibrillation and introduction of venoarterial extracorporeal membrane oxygenation were followed by emergency dialysis, which led to rapid improvement in the clinical findings.
CONCLUSION: Acute caffeine poisoning in a patient who developed an arrhythmia was successfully treated using an indwelling arterial and venous sheath followed by venoarterial extracorporeal membrane oxygenation.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2021 |
---|---|
Erschienen: |
2021 |
Enthalten in: |
Zur Gesamtaufnahme - volume:8 |
---|---|
Enthalten in: |
Acute medicine & surgery - 8(2021), 1 vom: 15. Jan., Seite e627 |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
Yasuda, Shinichi [VerfasserIn] |
---|
Links: |
---|
Themen: |
Arrhythmia |
---|
Anmerkungen: |
Date Revised 20.04.2022 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
---|
doi: |
10.1002/ams2.627 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM32092923X |
---|
LEADER | 01000naa a22002652 4500 | ||
---|---|---|---|
001 | NLM32092923X | ||
003 | DE-627 | ||
005 | 20231225174727.0 | ||
007 | cr uuu---uuuuu | ||
008 | 231225s2021 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.1002/ams2.627 |2 doi | |
028 | 5 | 2 | |a pubmed24n1069.xml |
035 | |a (DE-627)NLM32092923X | ||
035 | |a (NLM)33532077 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 1 | |a Yasuda, Shinichi |e verfasserin |4 aut | |
245 | 1 | 0 | |a Caffeine poisoning successfully treated by venoarterial extracorporeal membrane oxygenation and emergency hemodialysis |
264 | 1 | |c 2021 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Revised 20.04.2022 | ||
500 | |a published: Electronic-eCollection | ||
500 | |a Citation Status PubMed-not-MEDLINE | ||
520 | |a © 2021 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine. | ||
520 | |a BACKGROUND: Caffeine overdose can cause life-threatening circulatory failure, neurological abnormalities, and ventricular fibrillation. We report the case of a patient with caffeine poisoning who was successfully treated with early hemodialysis and venoarterial extracorporeal membrane oxygenation | ||
520 | |a CASE PRESENTATION: A 43-year-old man who had ingested pills containing 20 g caffeine was transported to the hospital 100 min after ingestion. Hemodynamic collapse and refractory arrhythmia were most likely the potential complications. The patient developed ventricular fibrillation when placed in the left lateral decubitus position. Return of spontaneous circulation with defibrillation and introduction of venoarterial extracorporeal membrane oxygenation were followed by emergency dialysis, which led to rapid improvement in the clinical findings | ||
520 | |a CONCLUSION: Acute caffeine poisoning in a patient who developed an arrhythmia was successfully treated using an indwelling arterial and venous sheath followed by venoarterial extracorporeal membrane oxygenation | ||
650 | 4 | |a Case Reports | |
650 | 4 | |a arrhythmia | |
650 | 4 | |a caffeine | |
650 | 4 | |a hemodialysis | |
650 | 4 | |a venoarterial extracorporeal membrane oxygenation | |
650 | 4 | |a ventricular fibrillation | |
700 | 1 | |a Hisamura, Masaki |e verfasserin |4 aut | |
700 | 1 | |a Hirano, Takahisa |e verfasserin |4 aut | |
700 | 1 | |a Kukihara, Yuriko |e verfasserin |4 aut | |
700 | 1 | |a Kodama, Keita |e verfasserin |4 aut | |
700 | 1 | |a Konishi, Kazuki |e verfasserin |4 aut | |
700 | 1 | |a Nakamura, Motohiro |e verfasserin |4 aut | |
700 | 1 | |a Hiramatsu, Gentaro |e verfasserin |4 aut | |
700 | 1 | |a Koshimizu, Kenji |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t Acute medicine & surgery |d 2014 |g 8(2021), 1 vom: 15. Jan., Seite e627 |w (DE-627)NLM26868071X |x 2052-8817 |7 nnns |
773 | 1 | 8 | |g volume:8 |g year:2021 |g number:1 |g day:15 |g month:01 |g pages:e627 |
856 | 4 | 0 | |u http://dx.doi.org/10.1002/ams2.627 |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |d 8 |j 2021 |e 1 |b 15 |c 01 |h e627 |