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Amitriptylinbedingter Herz-Kreislauf-Stillstand

Behandlung mit Lipidemulsion

Amitriptyline-induced cardiac arrest

Treatment with fat emulsion

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Zusammenfassung

Es wird die erfolgreiche Behandlung einer Amitriptylinvergiftung mithilfe der repetitiven i.v.-Gabe einer Fettemulsion berichtet. Die initial gemessenen Amitriptylinserumspiegel lagen weit in einem Bereich, der laut Literatur oftmals als tödlich beschrieben wird. Die Patientin überlebte ohne neurologische Folgeschäden.

Abstract

A case of successful resuscitation of a patient with severe amitriptyline intoxication is reported. The measured amitriptyline serum levels far exceeded those assumed to be lethal according to the literature. Resuscitation was successful with the administration of intravenous fat emulsion and the patient recovered without any neurological sequelae.

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Danksagung

Die Autoren danken K. Kesel für die kritische Durchsicht des Manuskripts.

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Die Autoren erklären keinen Interessenkonflikt.

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Authors and Affiliations

  1. Klinik für Anaesthesiologie, Klinikum der Ludwig-Maximilians-Universität, Marchioninistr. 15, 81377, München, Deutschland

    V. Huge, H. Baschnegger, P. Moehnle & J. Briegel

  2. Klinik für Neurochirurgie, Klinikum der Ludwig-Maximilians-Universität, München, Deutschland

    A. Peraud

Authors
  1. V. Huge
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  2. H. Baschnegger
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  3. P. Moehnle
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  4. A. Peraud
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  5. J. Briegel
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Corresponding author

Correspondence to V. Huge.

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Huge, V., Baschnegger, H., Moehnle, P. et al. Amitriptylinbedingter Herz-Kreislauf-Stillstand. Anaesthesist 60, 541–545 (2011). https://doi.org/10.1007/s00101-011-1848-5

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  • DOI: https://doi.org/10.1007/s00101-011-1848-5

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