The Recommendation and Use of Extracorporeal Membrane Oxygenation (ECMO) in Cases Reported to the...
The Recommendation and Use of Extracorporeal Membrane Oxygenation (ECMO) in Cases Reported to the California Poison Control SystemAbstractIntroductionAntidotes are available to treat some specific poisonings; however, the mainstay of treatment for the poisoned patient remains supportive care. Extracorporeal membrane oxygenation (ECMO) is one of the most aggressive supportive measures available to manage poisoned patients.ObjectiveTo characterize the recommendation and use of ECMO in cases reported...
Adverse Effects of PhysostigmineAbstractIntroductionPhysostigmine is a tertiary amine carbamate acetylcholinesterase inhibitor. Its ability to cross the blood-brain barrier makes it an effective antidote to reverse anticholinergic delirium. Physostigmine is underutilized following the publication of patients with sudden cardiac arrest after physostigmine administration in patients with tricyclic antidepressant (TCA) overdoses. We completed a narrative literature review to identify reported adverse...
Does Lidocaine Cause False Positive Results on Cocaine Urine Drug Screen?AbstractBackgroundIndividuals who have tested positive for cocaine have claimed that lidocaine, or its primary metabolite, norlidocaine (monoethylglycinexylidide (MEGX)), have caused false positive results for the cocaine metabolite benzoylecgonine (BE) on urinary immunoassay testing.ObjectiveThe goal of the study was to determine if lidocaine exposure from routine medical procedures can result in false positives on a commercially...
Gadolinium Aspiration Following Inadvertent Endotracheal Tube Cuff Injection in a Pediatric PatientAbstractIntroductionGadolinium-based contrast agents (GBCA) are frequently used for MRI contrast studies. We report a case of pulmonary aspiration secondary to inadvertent GBCA injection.Case ReportA 12-year-old female with a past medical history significant for mitochondrial disorder, bronchial asthma, autism, recurrent urinary tract infection, epilepsy, developmental delay, dysautonomia, and thrombocytopenia...
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