Extracorporeal cardiopulmonary resuscitation for severe chloroquine intoxication in a child – a case report

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

卷:29

Sébastien Colombier¹  Raymond Pfister¹  Vivianne Amiet²  Julia Natterer²  Marie-Hélène Perez²  David Longchamp²  Thomas Ferry² 

[1] Department of Cardiovascular Surgery, Lausanne University Hospital, University of Lausanne;

[2] Paediatric Intensive Care, Lausanne University Hospital, University of Lausanne;

关键词: Pediatrics;    Extracorporeal Life support;    Resuscitation;    Emergency medicine;    Intensive Care;    Arrhythmia;   

DOI  :  10.1186/s13049-021-00850-0

来源: DOAJ

【 摘 要 】

Abstract Background Chloroquine use has increased worldwide recently in the setting of experimental treatment for the novel coronavirus disease (Covid-19). Nevertheless, in case of chloroquine intoxication, it can be life threatening, with cardiac arrest, due to its cardiac toxicity. Case presentation This case study reports on a 14-years-old girl who presented in cardiac arrest after an uncommon suicide attempt by ingesting 3 g of chloroquine. After 66 min of cardio-pulmonary resuscitation (CPR), extracorporeal cardiopulmonary resuscitation (ECPR) was initiated, allowing cardiac function to recover. Conclusions Chloroquine intoxication is a rare but serious condition due to its cardiac toxicity. Use of ECPR in this case of transient toxicity allowed a favorable evolution with little neurological impairment.

【 授权许可】

Unknown