The AHA update now includes the use of venoarterial extracorporeal membrane oxygenation for patients whose condition is refractory to other treatments.
Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit.The American Heart Association has released a focused update on managing patients with cardiac arrest or life-threatening toxicity due to poisoning.
Highlighting a few key points from the update, he said,"For those rare situations when antidotes aren't enough, the new guidelines include the use of heart-lung machines for patients with beta blocker, calcium channel blocker, or sodium channel blocker poisoning causingtreatment for patients with beta blocker and calcium channel blocker poisoning [also recommended in the update] has really become mainstream.
First and foremost, the group recommends timely consultation with a medical toxicologist, a clinical toxicologist, or a regional poison center to facilitate rapid, effective therapy, since treatment of cardiac arrest and toxicity from poisoning often requires treatments that most clinicians don't use frequently.VA-ECMO can be lifesaving for patients with cardiogenic shock or dysrhythmias that are refractory to other treatments.
"Accordingly, the strength of recommendations is weaker than optimal," they write."Clinical trials in resuscitation and the management of critical poisoning are sorely needed.""Most critical poisonings are pretty uncommon, and each patient is different," Lavonas said."Even in the emergency department or ICU, most physicians will treat a patient who is critically ill with any given poison less than once a year.
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