DAVID T. DRESDALE, M.D.; HURLEY L. MOTLEY, M.D.; JOHN R. WEST, M.D.; JAMES K. ALEXANDER, M.D.
This case is presented to demonstrate the use of a respirator, combined with parenteral fluids, central nervous system stimulants and pressor agents, in sustaining life for three days in a patient deeply comatose from barbiturate poisoning.
The patient was a 63 year old hypertensive and diabetic white woman, with suicidal tendencies, who had taken, as well as could be determined, approximately 2 gm. of Sodium Seconal and 0.6 gm. of Sodium Amytal, eight to ten hours before admission to the emergency ward at Bellevue Hospital. At the time of admission the patient was deeply cyanotic, unresponsive to stimuli, a-reflexic and
DRESDALE DT, MOTLEY HL, WEST JR, ALEXANDER JK. BARBITURATE POISONING: COMBINED USE OF RESPIRATOR, FLUID, CENTRAL NERVOUS SYSTEM STIMULANTS AND PRESSOR AGENTS1. Ann Intern Med. ;28:676–681. doi: 10.7326/0003-4819-28-3-676
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Published: Ann Intern Med. 1948;28(3):676-681.
Emergency Medicine, Mechanical Ventilation, Pulmonary/Critical Care.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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