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Emco cardiac arrest

Chih-Yu Chen, Ju Tsai, Tai-Yi Hsu, Wan-Yu Lai, Wei-Kung Chen, Chih-Hsin Muo, Chia-Hung Kao
Refractory cardiac arrhythmia, which has a poor response to defibrillation and antiarrhythmia medication, is a complicated problem for clinical physicians during resuscitation. Extracorporeal membrane oxygenation (ECMO) may be used to sustain life in this situation. ECMO is useful for cardiopulmonary resuscitation among patients suffering from cardiac arrest; the use of ECMO in this context is called E-cardiopulmonary resuscitation. However, a large-scale and nationwide survey of ECMO usage in cases involving refractory cardiac arrhythmia during resuscitation is lacking...
March 2016: Medicine (Baltimore)
C William Heise, Aaron B Skolnik, Robert A Raschke, Huw Owen-Reece, Kimberlie A Graeme
Bupropion inhibits the uptake of dopamine and norepinephrine. Clinical effects in overdose include seizure, status epilepticus, tachycardia, arrhythmias, and cardiogenic shock. We report two cases of severe bupropion toxicity resulting in refractory cardiogenic shock, cardiac arrest, and repeated seizures treated successfully. Patients with cardiovascular failure related to poisoning may particularly benefit from extracorporeal membrane oxygenation (ECMO). These are the first cases of bupropion toxicity treated with veno-arterial EMCO (VA-ECMO) in which bupropion toxicity is supported by confirmatory testing...
September 2016: Journal of Medical Toxicology: Official Journal of the American College of Medical Toxicology
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