Hyperinsulinemic Euglycemia and Intravenous Lipid Emulsion Treatments for Calcium Channel Blocker and Beta Blocker Poisoning: A Report of Two Cases


GOKAY S. S. , YILMAZ H. L. , YILDIZDAŞ R. D. , HOROZ O. O. , KENDIR O. T. , ÇELİK T.

INTERNATIONAL JOURNAL OF PEDIATRICS-MASHHAD, vol.6, no.4, pp.7466-7472, 2018 (Journal Indexed in ESCI) identifier

  • Publication Type: Article / Article
  • Volume: 6 Issue: 4
  • Publication Date: 2018
  • Doi Number: 10.22038/ijp.2018.28390.2467
  • Title of Journal : INTERNATIONAL JOURNAL OF PEDIATRICS-MASHHAD
  • Page Numbers: pp.7466-7472

Abstract

Poisoning with calcium channel blockers and beta blockers are associated with high mortality and morbidity rates, especially in children. Treatment of poisoning with these drugs includes administration of atropine, glucagon, calcium and inotropic agents as clinically needed; and newer approaches like hyperinsulinemic euglycemia and intravenous lipid emulsion therapies. We herein present two refractory cases of calcium channel blocker and beta blocker poisoning that underwent hyperinsulinemic euglycemia and intravenous lipid emulsion interventions.