A successful treatment with intravenous lipid emulsion therapy in a child with verapamil poisoning

Havan M., KENDİRLİ T., Özcan S., Doǧan M., Yiǧit A., UÇAR T.

TURKISH JOURNAL OF EMERGENCY MEDICINE, cilt.21, sa.4, ss.217-220, 2021 (ESCI) identifier identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 21 Sayı: 4
  • Basım Tarihi: 2021
  • Doi Numarası: 10.4103/2452-2473.329626
  • Dergi Adı: TURKISH JOURNAL OF EMERGENCY MEDICINE
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
  • Sayfa Sayıları: ss.217-220
  • Anahtar Kelimeler: Children, intoxication, lipid emulsion therapy, verapamil
  • Ankara Üniversitesi Adresli: Evet

Özet

In recent years, intravenous lipid emulsion therapy (ILE) was used for lipophilic drug intoxications, and successful results were obtained. In the literature, there is a small number of reported cases about verapamil intoxication and ILE therapy in the pediatric age group. We used ILE therapy in a 14-year-old girl with verapamil intoxication in the 2nd h of the pediatric intensive care unit stay, before using traditional treatments such as glucagon and hyperinsulinemic euglycemia. She had resistant bradycardia and hypotension which was unresponsive to inotropic agents and a successful result was obtained after using ILE treatment. We believe our report may contribute to the early use of ILE therapy for toxicity with calcium channel blockers such as verapamil in pediatric patients.