Treatment of a patient with aconitine poisoning using veno-arterial membrane oxygenation: A case report

doi:10.12998/wjcc.v12.i21.4842

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World Journal of Clinical Cases

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2307-8960

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

World J Clin Cases. Jul 26, 2024; 12(21): 4842-4852
Published online Jul 26, 2024. doi: 10.12998/wjcc.v12.i21.4842

Treatment of a patient with aconitine poisoning using veno-arterial membrane oxygenation: A case report

Yu-Yao Bian, Jin Hou, Sudha Khakurel

Yu-Yao Bian, Department of Emergency Medicine, Hebei Petro China Central Hospital, Langfang 065000, Hebei Province, China

Jin Hou, Department of Internal Medicine, Langfang Health Vocational College, Langfang 065000, Hebei Province, China

Sudha Khakurel, Dallas Campus, UT Health Houston School of Public Health, Dallas, TX 75201, United States

Author contributions: Bian YY contributed to conceptualization, data curation, validation, writing original draft, writing review and editing; Hou J contributed to data curation, data analysis, validation, writing review and editing; Khakurel S contributed to data curation, data analysis, validation, writing review and editing, and English polishing; All authors have read and approved the final version to be published.

Informed consent statement: The case has been consented and authorized by the patient and his wife.

Conflict-of-interest statement: This article has not been sponsored by any pharmaceutical or medical device companies, and there are no conflicts of interest among the authors.

CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).

Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Yu-Yao Bian, Doctor, MM, Doctor, Professor, Department of Emergency Medicine, Hebei Petro China Central Hospital, No. 51 Xinkai Road, Guangyang District, Langfang 065000, Hebei Province, China. 55029360@qq.com

Received: April 22, 2024
Revised: May 23, 2024
Accepted: June 12, 2024
Published online: July 26, 2024
Processing time: 69 Days and 0.8 Hours

Core Tip

Core Tip: A patient poisoned by aconitine was treated with detoxification therapy under Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) support and made a full recovery. VA-ECMO can stabilize the hemodynamics of patients poisoned by drugs, providing a therapeutic opportunity for toxin elimination and the recovery of spontaneous cardiac activity and vital signs. We believe that VA-ECMO is an effective method for treating malignant arrhythmias caused by drug poisoning, which can reduce the risk of patient mortality. VA-ECMO is an effective method for treating malignant arrhythmias caused by drug poisoning.