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Clinical Toxicology Volume 49, 2011 - Issue 5
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Brief Report

Severe propranolol and ethanol overdose with wide complex tachycardia treated with intravenous lipid emulsion: A case report

Jasmina Jovic-StosicClinic for Emergency and Clinical Toxicology, Military Medical Academy, Belgrade, SerbiaCorrespondence[email protected]
,
Branko GligicClinic for Emergency Medicine, Military Medical Academy, Belgrade, Serbia
,
Vesna PuticInstitute of Pharmacy, Military Medical Academy, Belgrade, Serbia
,
Gordana BrajkovicDepartment of Toxicological Chemistry, Military Medical Academy, Belgrade, Serbia
&
Radenko SpasicClinic for Emergency Medicine, Military Medical Academy, Belgrade, Serbia
Pages 426-430 | Received 18 Mar 2011, Accepted 19 Apr 2011, Published online: 08 Jul 2011

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Joe-Anthony Rotella, Shaun L. Greene, Zeff Koutsogiannis, Andis Graudins, Yit Hung Leang, Kelvin Kuan, Helen Baxter, Elyssia Bourke & Anselm Wong. (2020) Treatment for beta-blocker poisoning: a systematic review. Clinical Toxicology 58:10, pages 943-983.
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Maria Paneta & William Stephen Waring. (2019) Literature review of the evidence regarding intravenous lipid administration in drug-induced cardiotoxicity. Expert Review of Clinical Pharmacology 12:7, pages 591-602.
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Rhadika Souza, Joshua Jauregui & Matthew Valento. (2018) Mixed propranolol and tizanidine overdose treated with intravenous lipid emulsion. Toxicology Communications 2:1, pages 71-74.
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Cassandra A. Skoog & Kristin M. Engebretsen. (2017) Are vasopressors useful in toxin-induced cardiogenic shock?. Clinical Toxicology 55:4, pages 285-304.
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Michael Levine, Robert S. Hoffman, Valéry Lavergne, Christine M. Stork, Andis Graudins, Ryan Chuang, Samuel J. Stellpflug, Martin Morris, Andrea Miller-Nesbitt & Sophie Gosselin. (2016) Systematic review of the effect of intravenous lipid emulsion therapy for non-local anesthetics toxicity. Clinical Toxicology 54:3, pages 194-221.
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W Stephen Waring. (2012) Intravenous lipid administration for drug-induced toxicity: a critical review of the existing data. Expert Review of Clinical Pharmacology 5:4, pages 437-444.
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T. L. Samuels, D. R. Uncles & J. W. Willers. (2011) Intravenous lipid emulsion treatment for propranolol toxicity: Another piece in the lipid sink jigsaw fits. Clinical Toxicology 49:8, pages 769-769.
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Articles from other publishers (32)

Seong-Ho Ok, Seung Hyun Ahn, Soo Hee Lee, Hyun-Jin Kim, Gyujin Sim, Jin Kyeong Park & Ju-Tae Sohn. (2022) Lipid emulsion attenuates propranolol-induced early apoptosis in rat cardiomyoblasts. Human & Experimental Toxicology 41, pages 096032712211108.
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Anika Niambi Al-Shura. 2020. Herbal, Bio-Nutrient and Drug Titration According to Disease Stages in Integrative Cardiovascular Chinese Medicine. Herbal, Bio-Nutrient and Drug Titration According to Disease Stages in Integrative Cardiovascular Chinese Medicine 57 75 .
Katherine H. Buck & Colin G. Kaide. 2020. Case Studies in Emergency Medicine. Case Studies in Emergency Medicine 19 30 .
Kasper Meidahl Petersen, Søren Bøgevig, Tonny Studsgaard Petersen, Thomas Bo Jensen, Kim Peder Dalhoff, Trine Henriksen, Henrik Enghusen Poulsen & Mikkel Bring Christensen. (2018) Hemodynamic Effects of Intravenous, High‐Dose Lipid Emulsion With and Without Metoprolol Infusion in Healthy Volunteers: A Randomized Clinical Trial. Clinical Pharmacology & Therapeutics 105:4, pages 1009-1017.
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Cansu Arslan Turan, Tuba Cimilli Ozturk, Ebru Unal Akoglu, Rohat Ak, Kemal Aygun, Ali Sahiner, Engin Sumer, Adnan Somay & Ozge Ecmel Onur. (2018) The Role of Intralipid Emulsion in the Rat Model of Digoxin Intoxication. Cardiovascular Toxicology 18:4, pages 329-336.
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Michael Levine & Jeffrey Brent. 2018. Critical Care Toxicology. Critical Care Toxicology 1 16 .
Michael Levine & Jeffrey Brent. 2017. Critical Care Toxicology. Critical Care Toxicology 771 786 .
Jaclyn O’ConnorSuprat Saely Wilson. (2016) Intravenous Lipid Emulsion for Management of Systemic Toxic Effects of Drugs. AACN Advanced Critical Care 27:4, pages 394-404.
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Samuel H.F. Lam, Nima Majlesi & Gary M. Vilke. (2016) Use of Intravenous Fat Emulsion in the Emergency Department for the Critically Ill Poisoned Patient. The Journal of Emergency Medicine 51:2, pages 203-214.
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Amanda M. Thompson, Carlos R. Franco Palacios & Maria N. Henriksen. (2016) Intravenous lipid emulsion and high-dose insulin as adjunctive therapy for propranolol toxicity in a pediatric patient. American Journal of Health-System Pharmacy 73:12, pages 880-885.
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Maarten Jan Willem van den Berg & Frank H. Bosch. (2016) Case Report. American Journal of Therapeutics 23:1, pages e246-e248.
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A. Truhlář, C.D. Deakin, J. Soar, G.E.A. Khalifa, A. Alfonzo, J.J.L.M. Bierens, G. Brattebø, H. Brugger, J. Dunning, S. Hunyadi-Antičević, R.W. Koster, D.J. Lockey, C. Lott, P. Paal, G.D. Perkins, C. Sandroni, K.-C. Thies, D.A. Zideman & J.P. Nolan. (2015) Kreislaufstillstand in besonderen SituationenCardiac arrest in special circumstances. Notfall + Rettungsmedizin 18:8, pages 833-903.
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Sam H. Muller, James H. Diaz & Alan David Kaye. (2015) Clinical applications of intravenous lipid emulsion therapy. Journal of Anesthesia 29:6, pages 920-926.
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Anatolij Truhlář, Charles D. Deakin, Jasmeet Soar, Gamal Eldin Abbas Khalifa, Annette Alfonzo, Joost J.L.M. Bierens, Guttorm Brattebø, Hermann Brugger, Joel Dunning, Silvija Hunyadi-Antičević, Rudolph W. Koster, David J. Lockey, Carsten Lott, Peter Paal, Gavin D. Perkins, Claudio Sandroni, Karl-Christian Thies, David A. Zideman, Jerry P. Nolan, Alessandro Barelli, Bernd W. Böttiger, Marios Georgiou, Anthony J. Handley, Thomas Lindner, Mark J. Midwinter, Koenraad G. Monsieurs & Wolfgang A. Wetsch. (2015) European Resuscitation Council Guidelines for Resuscitation 2015. Resuscitation 95, pages 148-201.
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Michael R. Fettiplace & Guy Weinberg. (2015) Past, Present, and Future of Lipid Resuscitation Therapy. Journal of Parenteral and Enteral Nutrition 39:1_suppl, pages 72S-83S.
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Mario Suwalsky, Pablo Zambrano, Fernando Villena, Marcela Manrique-Moreno, María José Gallardo, Malgorzata Jemiola-Rzeminska, Kazimierz Strzalka, Ana María Edwards, Sigrid Mennickent & Nathan Dukes. (2015) Morphological Effects Induced In Vitro by Propranolol on Human Erythrocytes. The Journal of Membrane Biology 248:4, pages 683-693.
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Amy E. Schultz, Temeka Lewis, Brittany S. Reed, Kyle A. Weant & Stephanie Baker Justice. (2015) That's a Phat Antidote. Advanced Emergency Nursing Journal 37:3, pages 162-175.
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Cassie A. Barton, Nathan B. Johnson, Nathan D. Mah, Gillian Beauchamp & Robert Hendrickson. (2015) Successful Treatment of a Massive Metoprolol Overdose Using Intravenous Lipid Emulsion and Hyperinsulinemia/Euglycemia Therapy. Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy 35:5, pages e56-e60.
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Cw Tse, Yc Chan & Fl Lau. (2017) Intravenous Lipid Emulsion as Antidote: Experience in Hong Kong. Hong Kong Journal of Emergency Medicine 22:2, pages 100-107.
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Dazhe Cao, Kennon Heard, Mark Foran & Alex Koyfman. (2015) Intravenous Lipid Emulsion in the Emergency Department: A Systematic Review of Recent Literature. The Journal of Emergency Medicine 48:3, pages 387-397.
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Michael Levine & Jeffrey Brent. 2016. Critical Care Toxicology. Critical Care Toxicology 1 16 .
Shasine Veli, Vasil Atanasov, Jordan Angelov & Kamen Kanev. (2014) Simultaneous application of intravenous fat emulsion and charcoal hemoperfusion in quetiapine overdose case. Open Medicine 9:3, pages 505-507.
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Mark A. Kostic & Marc Gorelick. (2014) Review of the Use of Lipid Emulsion in Nonlocal Anesthetic Poisoning. Pediatric Emergency Care 30:6, pages 427-433.
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Dinesh Yogaratnam, Melissa A. Miller, Britney Ross & Michael DiNapoli. (2014) Nutrition as Medical Therapy. Critical Care Nursing Clinics of North America 26:2, pages 277-287.
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Mehmet S. Ozcan & Guy Weinberg. (2012) Intravenous Lipid Emulsion for the Treatment of Drug Toxicity. Journal of Intensive Care Medicine 29:2, pages 59-70.
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David H. Jang, Meghan B. Spyres, Lindsay Fox & Alex F. Manini. (2014) Toxin-Induced Cardiovascular Failure. Emergency Medicine Clinics of North America 32:1, pages 79-102.
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Janice E. Sullivan & Mark J. McDonald. 2014. Pediatric Critical Care Medicine. Pediatric Critical Care Medicine 695 727 .
Fermin BarruetoJr.Jr., Rajender Gattu & Maryann Mazer-Amirshahi. (2013) Updates in the General Approach to the Pediatric Poisoned Patient. Pediatric Clinics of North America 60:5, pages 1203-1220.
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Michael R. Christian, Erin M. Pallasch, Michael Wahl & Mark B. Mycyk. (2013) Lipid Rescue 911: Are Poison Centers Recommending Intravenous Fat Emulsion Therapy for Severe Poisoning?. Journal of Medical Toxicology 9:3, pages 231-234.
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Michael N. Perza, Laura A. Schneider & Jamie M. Rosini. (2013) Suspected Tricyclic Antidepressant Overdose Successfully Treated With Lipids. Journal of Emergency Nursing 39:3, pages 296-298.
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Nathan P. Charlton, Peter S. Morse, Heather A. Borek, David T. Lawrence & William J. Brady. (2013) The toxicology literature of 2011: issues impacting the emergency physician. The American Journal of Emergency Medicine 31:3, pages 597-601.
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T. L. Samuels, J. W. Willers, D. R. Uncles, R. Monteiro, C. Halloran & H. Dai. (2011) In vitro suppression of drug‐induced methaemoglobin formation by Intralipid ® in whole human blood: observations relevant to the ‘lipid sink theory’* . Anaesthesia 67:1, pages 23-32.
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