@article{ref1,
title="Severe poisoning with sotalol and verapamil. Recovery after 4 h of normothermic CPR followed by extra corporeal heart lung assist",
journal="Acta anaesthesiologica Scandinavica",
year="2005",
author="Rygnestad, T. and Moen, S. and Wahba, A. and Lien, S. and Ingul, C. B. and Schrader, H. and Knapstad, S. E.",
volume="49",
number="9",
pages="1378-1380",
abstract="In acute poisoning with beta-blocking drugs and calcium-channel blockers patients may present with serious symptoms. We present a case of life-threatening sotalol and verapamil intoxication in a 29-year-old female suffering from depression. She was admitted to our hospital a few hours after she had taken 3.6 g verapamil and 4.8 g sotalol. On being found the patient was breathing and had a palpable pulse. On admission the patient experienced a cardiovascular collapse and CPR was started. Echocardiography confirmed cardiac standstill. After 4 h of normothermic CPR, extra corporeal heart lung assist (ECHLA) was established. Vasoactive drugs could be stopped after 2 days with ECHLA, and after 5 days the patient was extubated. The patient experienced several complications (intestinal bleeding, transient nerve paralysis, and renal failure due to rhabdomyolysis) but made a complete recovery and started working 6 months after the poisoning. She was no longer depressed.<p /><p>Language: en</p>",
language="en",
issn="0001-5172",
doi="10.1111/j.1399-6576.2005.00709.x",
url="http://dx.doi.org/10.1111/j.1399-6576.2005.00709.x"
}