TY - JOUR PY - 2004// TI - Intentional overdose of Large Animal Immobilon JO - European journal of emergency medicine A1 - Sterken, Joeri A1 - Troubleyn, Joris A1 - Gasthuys, Frank A1 - Maes, Viviane A1 - Diltoer, Mark A1 - Verborgh, Christian SP - 298 EP - 301 VL - 11 IS - 5 N2 - We describe a case of voluntary self-injection with Large Animal Immobilon, a veterinary anaesthesia product containing etorphine, a very strong opioid, and acepromazine, a phenothiazine. This resulted in cardiorespiratory arrest and the need for sustained haemodynamic support after resuscitation. Large Animal Immobilon is used under specific conditions only, mainly in zoo and wildlife medicine. Primary toxicological analysis, although guided by the presumed toxin, could only detect a metabolite of acepromazine in the urine. Further analysis was able to show some traces of etorphine. A number of topics are treated, including the apparent potency of the etorphine and the selection of a suitable antidote, taking into account the different properties of the respective agents.
Language: en
LA - en SN - 0969-9546 UR - http://dx.doi.org/10.1097/00063110-200410000-00013 ID - ref1 ER -