Citation

Ruhe M, Grautoff S, Kahler J, Pohle T. Med. Klin. Intensivmed. Notfmed. 2015; 111(2): 141-144.

Vernacular Title

Phenobarbitalintoxikation in suizidaler Absicht : Kontinuierliche venovenöse Hämodialyse als effektive Therapie.

Affiliation

Medizinische Klinik I, Klinikum Herford, Schwarzenmoorstraße 70, 32049, Herford, Deutschland, mmwruhe@gmail.com.

Copyright

(Copyright © 2015, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s00063-015-0046-7

PMID

26070921

Abstract

A 68-year-old woman tried to commit suicide using phenobarbital, which was initially prescribed for her dog that suffered from seizures. At admission she was unconscious and ventilated. Five days of intensive care therapy did not improve her state of consciousness. Subsequent continuous veno-venous hemodialysis accelerated the elimination of phenobarbital compared to endogenous elimination by a factor of five. The patient survived without sequelae. Detailed history taking and well-timed indication for dialysis were crucial.

Language: de