von Westphal V, Jacobsen P
[Time limits for gastro-intestinal decontamination in poisoning.] [JOURNAL ARTICLE]
Ugeskr Laeger 2009 Feb 23; 171(9):718.
A 70-year-old man was admitted to hospital within 5 hours after an intended overdose of benzodiazepines and morphine. He was treated with flumazenil and naloxone but GID was considered unsafe. 24 hours after admission the patient had a GCS at 5 and significant respiratory insufficiency. After intubation, large amounts of tablets were aspirated and activated charcoal instilled. Respirator treatment was required for 24 hours and the course was complicated by aspiration pneumonia. The case challenges strict time limits and a restricted attitude towards gastric emptying in massive overdose.
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