Display options
Cite
Garg SK, Goyal PK, Kumar R, et al. Management of life-threatening calcium channel blocker overdose with continuous veno-venous hemodiafiltration with charcoal hemoperfusion. Indian J Crit Care Med. 2014;18(6):399-401doi: 10.4103/0972-5229.133939.
Garg, S. K., Goyal, P. K., Kumar, R., Juneja, D., Bhasin, A., & Singh, O. (2014). Management of life-threatening calcium channel blocker overdose with continuous veno-venous hemodiafiltration with charcoal hemoperfusion. Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 18(6), 399-401. https://doi.org/10.4103/0972-5229.133939
Garg, Suneel K, et al. "Management of life-threatening calcium channel blocker overdose with continuous veno-venous hemodiafiltration with charcoal hemoperfusion." Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine vol. 18,6 (2014): 399-401. doi: https://doi.org/10.4103/0972-5229.133939
Garg SK, Goyal PK, Kumar R, Juneja D, Bhasin A, Singh O. Management of life-threatening calcium channel blocker overdose with continuous veno-venous hemodiafiltration with charcoal hemoperfusion. Indian J Crit Care Med. 2014 Jun;18(6):399-401. doi: 10.4103/0972-5229.133939. PMID: 24987241; PMCID: PMC4071686.
Copy Download .nbib Format: NLM
Share it on

Indian J Crit Care Med. 2014 Jun;18(6):399-401. doi: 10.4103/0972-5229.133939.

Management of life-threatening calcium channel blocker overdose with continuous veno-venous hemodiafiltration with charcoal hemoperfusion.

Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine

Suneel K Garg, Pankaj K Goyal, Rahul Kumar, Deven Juneja, Alka Bhasin, Omender Singh

Affiliations

  1. Institute of Critical Care Medicine, Max Super Speciality Hospital, New Delhi, India.

PMID: 24987241 PMCID: PMC4071686 DOI: 10.4103/0972-5229.133939

Abstract

Cases of calcium channel blocker overdose reported from India are few, and although rare, they are associated with high mortality. Management includes fluids, vasopressors, calcium gluconate or chloride, glucagon infusion, and hyperinsulinemia-euglycemia therapy along with some rescue therapies tried in anecdotal reports. We report here a case of life-threatening overdose of amlodipine with shock, refractory to conventional therapies. Salvage therapy with continuous veno-venous hemodiafiltration using charcoal hemoperfusion with prior infusion of intravenous lipid emulsion resulted in a successful outcome.

Keywords: Amlodipine overdose; calcium channel blocker overdose; charcoal hemoperfusion; continuous veno-venous hemodiafiltration

References

  1. Emerg Med Clin North Am. 2007 May;25(2):309-31; abstract viii - PubMed
  2. Drugs. 1995 Sep;50(3):560-86 - PubMed
  3. Am J Health Syst Pharm. 2006 Oct 1;63(19):1828-35 - PubMed
  4. Minerva Anestesiol. 2008 Mar;74(3):97-100 - PubMed
  5. Clin Cardiol. 1991 Nov;14(11):933-5 - PubMed
  6. Am J Emerg Med. 1998 Sep;16(5):527-8 - PubMed
  7. Middle East J Anaesthesiol. 2010 Oct;20(6):869-72 - PubMed
  8. Indian J Crit Care Med. 2008 Oct;12(4):190-3 - PubMed
  9. Indian J Crit Care Med. 2012 Oct;16(4):204-6 - PubMed
  10. J Assoc Physicians India. 2004 Feb;52:156-7 - PubMed
  11. Am Heart J. 1989 Nov;118(5 Pt 2):1100-3 - PubMed
  12. J Intensive Care Med. 2007 Nov-Dec;22(6):381-5 - PubMed
  13. Ann Emerg Med. 2011 Dec;58(6):565-7 - PubMed

Publication Types