Author/Authors :
nasa, p. department of critical care medicine,max superspeciality hospital, India , singh, a. department of critical care medicine,max superspeciality hospital, India , juneja, d. department of critical care medicine,max superspeciality hospital, India , singh, o. department of critical care medicine,max superspeciality hospital, India , javeri, y. department of critical care medicine,max superspeciality hospital, India
Abstract :
Overdose with calcium channel blockers is uncommon,but is associated with high mortality. The management includes fluid resuscitation,calcium gluconate,glucagon,vasopressors,and high-dose insulin-euglycemia therapy. We describe a rare case of massive overdose of lercanidipine with shock,refractory to conventional therapies and multi-organ failure. Charcoal hemoperfusion with continuous venovenous hemodiafiltration was then used successfully and the patient showed remarkable recovery.
