Yasuda Shinichi, Hisamura Masaki, Hirano Takahisa, Kukihara Yuriko, Kodama Keita, Konishi Kazuki, Nakamura Motohiro, Hiramatsu Gentaro, Koshimizu Kenji
Department of Critical and Emergency Medicine Saitama Medical Center Saitama Medical University Kawagoe Japan.
Department of Emergency Medicine Saitama Medical Center Saitama Medical University Kawagoe Japan.
Acute Med Surg. 2021 Jan 25;8(1):e627. doi: 10.1002/ams2.627. eCollection 2021 Jan-Dec.
Caffeine overdose can cause life-threatening circulatory failure, neurological abnormalities, and ventricular fibrillation. We report the case of a patient with caffeine poisoning who was successfully treated with early hemodialysis and venoarterial extracorporeal membrane oxygenation.
A 43-year-old man who had ingested pills containing 20 g caffeine was transported to the hospital 100 min after ingestion. Hemodynamic collapse and refractory arrhythmia were most likely the potential complications. The patient developed ventricular fibrillation when placed in the left lateral decubitus position. Return of spontaneous circulation with defibrillation and introduction of venoarterial extracorporeal membrane oxygenation were followed by emergency dialysis, which led to rapid improvement in the clinical findings.
Acute caffeine poisoning in a patient who developed an arrhythmia was successfully treated using an indwelling arterial and venous sheath followed by venoarterial extracorporeal membrane oxygenation.
咖啡因过量可导致危及生命的循环衰竭、神经功能异常和心室颤动。我们报告一例咖啡因中毒患者，经早期血液透析和静脉-动脉体外膜肺氧合成功治疗。
一名43岁男性摄入含20克咖啡因的药丸，摄入后100分钟被送往医院。血流动力学崩溃和难治性心律失常很可能是潜在并发症。患者左侧卧位时发生心室颤动。除颤恢复自主循环并引入静脉-动脉体外膜肺氧合后进行紧急透析，临床症状迅速改善。
一名发生心律失常的急性咖啡因中毒患者，通过留置动静脉鞘管，随后进行静脉-动脉体外膜肺氧合成功治疗。
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