Caffeine poisoning successfully treated by venoarterial extracorporeal membrane oxygenation and emergency hemodialysis
Open Access
- 25 January 2021
- journal article
- research article
- Published by Wiley in Acute Medicine & Surgery
- Vol. 8 (1), e627
- https://doi.org/10.1002/ams2.627
Abstract
Background Caffeine overdose can cause life‐threatening circulatory failure, neurological abnormalities, and ventricular fibrillation. We report the case of a patient with caffeine poisoning who was successfully treated with early hemodialysis and venoarterial extracorporeal membrane oxygenation. Case Presentation A 43‐year‐old man who had ingested pills containing 20 g caffeine was transported to the hospital 100 min after ingestion. Hemodynamic collapse and refractory arrhythmia were most likely the potential complications. The patient developed ventricular fibrillation when placed in the left lateral decubitus position. Return of spontaneous circulation with defibrillation and introduction of venoarterial extracorporeal membrane oxygenation were followed by emergency dialysis, which led to rapid improvement in the clinical findings. Conclusion Acute caffeine poisoning in a patient who developed an arrhythmia was successfully treated using an indwelling arterial and venous sheath followed by venoarterial extracorporeal membrane oxygenation.Keywords
This publication has 5 references indexed in Scilit:
- Extracorporeal Cardiopulmonary Resuscitation for Out‐of‐Hospital Cardiac Arrest in Adult PatientsJournal of the American Heart Association, 2020
- Extracorporeal Membrane Oxygenation for Hypokalemia and Refractory Ventricular Fibrillation Associated with Caffeine IntoxicationThe Journal of Emergency Medicine, 2020
- Refractory ventricular fibrillation caused by caffeine intoxicationJournal of Cardiology Cases, 2018
- Early arterial access for resuscitative endovascular balloon occlusion of the aorta is related to survival outcome in traumaThe Journal of Trauma and Acute Care Surgery, 2018
- Caffeine renal clearance and urine caffeine concentrations during steady state dosing. Implications for monitoring caffeine intake during sports events.British Journal of Clinical Pharmacology, 1991