NEAR-FATAL ANTICHOLINERGIC INTOXICATION AFTER ROUTINE FUNDOSCOPY

Authors
BRUNNER GA FLECK S PIEBER TR LUEGER A KAUFMANN P SMOLLE KH BRUSSEE H KREJS GJ
Citation
Ga. Brunner et al., NEAR-FATAL ANTICHOLINERGIC INTOXICATION AFTER ROUTINE FUNDOSCOPY, Intensive care medicine, 24(7), 1998, pp. 730-731
Citations number
10
Categorie Soggetti
Emergency Medicine & Critical Care
Journal title
Intensive care medicine → ACNP
ISSN journal
03424642
Volume
24
Issue
7
Year of publication
1998
Pages
730 - 731
Database
ISI
SICI code
0342-4642(1998)24:7<730:NAIARF>2.0.ZU;2-6
Abstract
We describe a case of severe anticholinergic intoxication following th e topical instillation of tropicamide-containing eyedrops. Tropicamide is a short-acting atropine-like derivative and has been regarded as a n effective and safe mydriatic. Half an hour after routine fundoscopy, a 62-year-old man experienced two generalized seizures with respirato ry arrest and required intubation and mechanical ventilation. The pati ent was treated with physostigmine and made a full recovery.