Abstract
In recent years, intravenous lipid emulsions (ILE) have been used as an effective antidote to lipophilic drug poisonings, especially to local anaesthetic drug intoxication. Massive intentional verapamil overdose is a toxic ingestion that can cause multiorgan failure and currently has no known antidote, which can lead to fatal poisoning. Treatments for calcium channel blocker (CCB) intoxications include decontamination, fluid replacement, vasopressors and glucagon. Here, we present a patient who showed continued hypotension despite aggressive treatment but was successfully resuscitated following intravenous lipid support.
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