
@article{ref1,
title="Successful management of delayed presentation of massive paracetamol overdose in a resource-limited setting: a case report from Nepal",
journal="Clinical case reports",
year="2022",
author="Lamichhane, Pratik and Pokhrel, Kailash Mani and Bhandari, Bijay and Agrawal, Anushka and Ghimire, Bhumika and Shilpakar, Olita",
volume="10",
number="12",
pages="e6733-e6733",
abstract="We present a case of self-poisoning with a massive dose of paracetamol by a young Nepalese female patient who presented late to our emergency department. This report highlights the successful management of the patient with the extended use of N-acetylcysteine over 4 days and continuous supportive therapy as required. The case is an example of the management of delayed presentation of a massive paracetamol poisoning in a resource-limited setting, where intensive care units and hemodialysis facilities are not easily available. However, when available, massive poisoning should always be managed in continuous monitoring units under the expertise of a toxicologist.<p /> <p>Language: en</p>",
language="en",
issn="2050-0904",
doi="10.1002/ccr3.6733",
url="http://dx.doi.org/10.1002/ccr3.6733"
}