Severe bupropion overdose and ECMO: two great saves

ChaNaWiT/ 3.5 out of 5 stars Two Cases of Refractory Cardiogenic Shock Secondary to Bupropion Successfully Treated with Veno-Arterial Extracorporeal Membrance Oxygenation. Heise CW et al. J Med Toxicol 2016 Feb 8 [Epub Ahead of Print] Abstract This awesome, exciting paper from Banner University Medical Center in Phoenix describes two teenagers with severe bupropion overdose who survived refractory cardiac arrest after veno-arterial extracorporeal membrane oxygenation (VA-ECMO): Case 1: A 15-year-old girl was brought to hospital after ingesting up to 90 150-mg bupropion tablets. She had a seizure en route and arrived with pulseless electrical activity (PEA). Return of spontaneous circulation was achieved after 20 minutes of cardiopulmonary resuscitation. She was sent by air-ambulance to a tertiary hospital with a Medical Toxicology service. During transport, she had recurrent episodes of PEA. At the receiving hospital, the patient had progressive hypoxia and decreased cardiac output with an ejection fraction
Source: The Poison Review - Category: Toxicology Authors: Tags: Medical burpropion ECMO extracorporeal membrane oxygenation Source Type: news

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