Extracorporeal membrane oxygenation in a patient with yew and escitalopram intoxication

We present a case of a 25-year-old patient with yew and escitalopram ingestion in a suicide attempt. He presented to the emergency department of a regional hospital with cardiology center without cardiosurgery clinic, but with VA ECMO team on site. Pulseless ventricular tachycardia and fibrillation unresponsive to usual treatment developed soon after presentation and the patient had to be placed on VA ECMO during ongoing cardiopulmonary resuscitation using Lucas CPR device. Patient survived and was successfully weaned off VA ECMO after 4 days with normalization of cardiac function and without severe liver or kidney dysfunction. Unfortunately, brain death was diagnosed after the discontinuation of sedation two days later and the patient entered the transplantation program as a donor. This propably happened due to inadequate mechanical resuscitation during transportation to the cathlab.VA ECMO is an important option for the treatment of intoxications, with early indication being crucial.
Source: Cor et Vasa - Category: Cardiology Source Type: research