Toxic Bradycardias in the Critically Ill Poisoned Patient
Cardiovascular drugs are a common cause of poisoning, and toxic bradycardias can be refractory to standard ACLS protocols. It is important to consider appropriate antidotes and adjunctive therapies in the care of the poisoned patient in order to maximize outcomes. While rigorous studies are lacking...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2012/852051 |
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| _version_ | 1850158358351314944 |
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| author | Melissa L. Givens |
| author_facet | Melissa L. Givens |
| author_sort | Melissa L. Givens |
| collection | DOAJ |
| description | Cardiovascular drugs are a common cause of poisoning, and toxic bradycardias can be refractory to standard ACLS protocols. It is important to consider appropriate antidotes and adjunctive therapies in the care of the poisoned patient in order to maximize outcomes. While rigorous studies are lacking in regards to treatment of toxic bradycardias, there are small studies and case reports to help guide clinicians’ choices in caring for the poisoned patient. Antidotes, pressor support, and extracorporeal therapy are some of the treatment options for the care of these patients. It is important to make informed therapeutic decisions with an understanding of the available evidence, and consultation with a toxicologist and/or regional Poison Control Center should be considered early in the course of treatment. |
| format | Article |
| id | doaj-art-63d2dbbfdf2b42e4ba6ee25ddf207cb2 |
| institution | OA Journals |
| issn | 2090-2840 2090-2859 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-63d2dbbfdf2b42e4ba6ee25ddf207cb22025-08-20T02:23:53ZengWileyEmergency Medicine International2090-28402090-28592012-01-01201210.1155/2012/852051852051Toxic Bradycardias in the Critically Ill Poisoned PatientMelissa L. Givens0Department of Emergency Medicine, Carl R. Darnall Army Medical Center, Fort Hood, TX 76544-4752, USACardiovascular drugs are a common cause of poisoning, and toxic bradycardias can be refractory to standard ACLS protocols. It is important to consider appropriate antidotes and adjunctive therapies in the care of the poisoned patient in order to maximize outcomes. While rigorous studies are lacking in regards to treatment of toxic bradycardias, there are small studies and case reports to help guide clinicians’ choices in caring for the poisoned patient. Antidotes, pressor support, and extracorporeal therapy are some of the treatment options for the care of these patients. It is important to make informed therapeutic decisions with an understanding of the available evidence, and consultation with a toxicologist and/or regional Poison Control Center should be considered early in the course of treatment.http://dx.doi.org/10.1155/2012/852051 |
| spellingShingle | Melissa L. Givens Toxic Bradycardias in the Critically Ill Poisoned Patient Emergency Medicine International |
| title | Toxic Bradycardias in the Critically Ill Poisoned Patient |
| title_full | Toxic Bradycardias in the Critically Ill Poisoned Patient |
| title_fullStr | Toxic Bradycardias in the Critically Ill Poisoned Patient |
| title_full_unstemmed | Toxic Bradycardias in the Critically Ill Poisoned Patient |
| title_short | Toxic Bradycardias in the Critically Ill Poisoned Patient |
| title_sort | toxic bradycardias in the critically ill poisoned patient |
| url | http://dx.doi.org/10.1155/2012/852051 |
| work_keys_str_mv | AT melissalgivens toxicbradycardiasinthecriticallyillpoisonedpatient |