A case of diltiazem overdose with significant hemodynamic compromise is presented. Multiple therapeutic modalities were attempted with limited results. Control was finally achieved with a combination of norepinephrine, dobutamine, and cardiac pacing. Invasive pulmonary monitoring parameters are reported and were important in the management of this patient. The management of calcium channel blocker overdose and the various available therapeutic modalities are discussed. (C) 1995 by W.B. Saunders Company
机构:
Lariboisiere Hosp, Dept Med & Toxicol Crit Care, Paris, France
Univ Paris, INSERM, UMRS 1144, Paris, FranceLariboisiere Hosp, Dept Med & Toxicol Crit Care, Paris, France