دورية أكاديمية
Succesful Resusication with Veno-arterial Extracorporeal Membrane Oxygenation in Cardiac Arrest After Metformin Overdose: A Case Report and Current Literature Review
العنوان: | Succesful Resusication with Veno-arterial Extracorporeal Membrane Oxygenation in Cardiac Arrest After Metformin Overdose: A Case Report and Current Literature Review |
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المؤلفون: | Ibrahim Altundag, Riza Cete, Ibrahim Halil Toksul, Ziad Kazzi, Semih Korkut, Aynur Sahin |
المصدر: | Haseki Tıp Bülteni, Vol 62, Iss 1, Pp 47-50 (2024) |
بيانات النشر: | Galenos Yayinevi, 2024. |
سنة النشر: | 2024 |
المجموعة: | LCC:Medicine LCC:Medicine (General) |
مصطلحات موضوعية: | metformin overdose, suicide, lactic acidosis, extracorporeal membrane oxygenation, continuous renal replacement therapy, Medicine, Medicine (General), R5-920 |
الوصف: | Metformin can cause gastrointestinal system symptoms, hyperlactatemia, and lactic acidosis even at therapeutic doses, and toxicity can result in serious complications and high mortality with massive infections. The prognosis for undifferentiated lactic acidosis is poor, with an expected case fatality rate of 30-50%. We present the case of a patient who was admitted to the emergency department with a large intentional metformin overdose. The patient was initially asymptomatic, but deteriorated rapidly during the observation period, developed cardiac arrest, and required extracorporeal membrane oxygenation (ECMO) and continuous renal replacement therapy. Considering this case, we aim to emphasize that metformin overdoses may worsen in the late stages and that the follow-up period should be performed in a monitored setting that can provide, if needed, advanced cardiac support therapies such as ECMO. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English Turkish |
تدمد: | 1302-0072 2147-2688 |
Relation: | http://www.hasekidergisi.com/archives/archive-detail/article-preview/succesful-resusication-with-veno-arterial-extracor/64568; https://doaj.org/toc/1302-0072; https://doaj.org/toc/2147-2688 |
DOI: | 10.4274/haseki.galenos.2024.9407 |
URL الوصول: | https://doaj.org/article/8b17f185e6ab4cdb8e2837c34a223234 |
رقم الأكسشن: | edsdoj.8b17f185e6ab4cdb8e2837c34a223234 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 13020072 21472688 |
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DOI: | 10.4274/haseki.galenos.2024.9407 |