Journal of The Korean Society of Clinical Toxicology (대한임상독성학회지)
- Volume 12 Issue 2
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- Pages.97-101
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- 2014
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- 1738-1320(pISSN)
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- 2508-6332(eISSN)
A Case of Successful Resuscitation of 10,150 J Shocks and Therapeutic Hypothermia on Aconitine-induced Cardiovascular Collapse
10,150 J의 심장조율동과 치료적 저체온법으로 소생한 중증 초오 중독 환자 1례
- Moon, Hyung Jun (Department of Emergency Medicine, Soon Chun Hyang University College of Medicine) ;
- Lee, Jung Won (Department of Emergency Medicine, Soon Chun Hyang University College of Medicine) ;
- Kim, Ki Hwan (Department of Emergency Medicine, Soon Chun Hyang University College of Medicine) ;
- Jeong, Dong Kil (Department of Emergency Medicine, Soon Chun Hyang University College of Medicine) ;
- Kim, Jong Ho (Department of Emergency Medicine, Soon Chun Hyang University College of Medicine) ;
- Kim, Young Ki (Department of Emergency Medicine, Soon Chun Hyang University College of Medicine) ;
- Lee, Hyun Jung (Department of Emergency Medicine, Soon Chun Hyang University College of Medicine)
- 문형준 (순천향대학교 의과대학 응급의학교실) ;
- 이정원 (순천향대학교 의과대학 응급의학교실) ;
- 김기환 (순천향대학교 의과대학 응급의학교실) ;
- 정동길 (순천향대학교 의과대학 응급의학교실) ;
- 김종호 (순천향대학교 의과대학 응급의학교실) ;
- 김영기 (순천향대학교 의과대학 응급의학교실) ;
- 이현정 (순천향대학교 의과대학 응급의학교실)
- Received : 2014.06.09
- Accepted : 2014.09.15
- Published : 2014.12.31
Abstract
Aconitine, found in the Aconitum species, is highly extremely toxic, and has been known to cause fatal cardiac arrhythmias and cardiovascular collapse. Although several reports have described treatment of aconitine intoxication, management strategy for the patient in a hemodynamically compromised state who experienced cardiopulmonary collapse is unknown. We report here on a case of a successful cardiopulmonary resuscitation and therapeutic hypothermia in an aconitine-induced cardiovascular collapsed patient. A 73-year-old male who presented with nausea, vomiting, chest discomfort, and drowsy mental state after eating an herbal decoction made from aconite roots was admitted to the emergency department. He showed hemodynamic compromise with monomorphic ventricular tachycardia resistant to amiodarone and lidocaine. After 3 minutes on admission, he collapsed, and cardiopulmonary resuscitation was initiated. We treated him with repeated cardioversion/defibrillation of 51 times, 10,150 joules and cardiopulmonary resuscitation of 12 times, 69 minutes for 14 hours and therapeutic hypothermia for 36 hours. He recovered fully in 7 days.