@article{ref1,
title="Severe Noncardiogenic Pulmonary Edema Secondary to Massive Verapamil Overdose and Treatment with Venovenous Extracorporeal Membrane Oxygenation",
journal="Case reports in critical care",
year="2020",
author="Ho, A. and Go, A. and Barrios, C. and Scalzo, A.",
volume="2020",
number="",
pages="-",
abstract="Calcium channel blocker (CCB) poisoning frequently presents with cardiovascular complications such as cardiogenic shock and arrhythmia. We present a case of massive verapamil overdose causing refractory noncardiogenic pulmonary edema successfully treated with extracorporeal membrane oxygenation. To our knowledge, this is the first case with these features reported in literature. A 27-year-old female patient presented with an overdose of 18,000 mg of verapamil. Her clinical condition deteriorated to severe hypoxic respiratory failure despite being treated with calcium, high-dose insulin, and full invasive ventilation support. She eventually required venovenous extracorporeal membrane oxygenation (VV-ECMO) for three days with full recovery. Large ingestion of verapamil could lead to noncardiogenic pulmonary edema. VV-ECMO might play an important role to support the treatment in severe cases with refractory hypoxia. © 2020 An Ho et al.<p /><p>Language: en</p>",
language="en",
issn="2090-6420",
doi="10.1155/2020/8842303",
url="http://dx.doi.org/10.1155/2020/8842303"
}