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10.1007/s13181-014-0419-y

http://scihub22266oqcxt.onion/10.1007/s13181-014-0419-y
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C4371031!4371031!25146229
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suck abstract from ncbi


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pmid25146229      J+Med+Toxicol 2015 ; 11 (1): 110-4
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  • Massive Atenolol, Lisinopril, and Chlorthalidone Overdose Treated with Endoscopic Decontamination, Hemodialysis, Impella Percutaneous Left Ventricular Assist Device, and ECMO #MMPMID25146229
  • Heise CW; Beutler D; Bosak A; Orme G; Loli A; Graeme K
  • J Med Toxicol 2015[Mar]; 11 (1): 110-4 PMID25146229show ga
  • Background: Overdose of cardiovascular medications is increasingly associated with morbidity and mortality. We present a case of substantial atenolol, chlorthalidone, and lisinopril overdose treated by multiple modalities with an excellent outcome. Conclusion: Aggressive medical intervention did not provide sufficient hemodynamic stability in this patient with refractory cardiogenic and distributive shock. ImpellaŽ percutaneous left ventricular assist device and extracorporeal membrane oxygenation provided support while the effects of the overdose subsided. We present concentrations demonstrating removal of atenolol with continuous venovenous hemodiafiltration. This is the first report of esophagogastroduo denoscopy decontamination of this overdose with a large pill fragment burden.
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