Intrapleural and Intraperitoneal Free Fluid in Calcium Channel Blocker Overdose

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dc.contributor.authorYılmaz, Mustafa
dc.contributor.authorAy, Mehmet Oğuzhan
dc.contributor.authorGökel, Yüksel
dc.contributor.authorKozacı, Nalan
dc.contributor.authorSamanlıoğlu, Gülnihal
dc.contributor.authorAtlı, Mesude
dc.contributor.authorKaraküçük, Seda Nida
dc.date.accessioned2021-11-01T18:15:10Z
dc.date.available2021-11-01T18:15:10Z
dc.date.issued2016
dc.department[Belirlenecek]
dc.description.abstractAim: Toxicity findings affecting many systems, particularly the cardiovascular system, are observed in calcium channel blocker (CCB) overdose. Here, we aimed to present the incidence of CCB overdose patients with intraperitoneal and intrapleural free fluids detected by abdominal ultrasonography (USG). Materials and Methods: CCB overdose patients admitted to the emergency room in a 2-year period were prospectively included. All patients with CCB overdose were evaluated by bedside abdominal USG in terms of the presence of pleural and peritoneal fluid. Results: A total of 14 patients with CCB poisoning were included in our study. Six (42.8%) patients had taken verapamil, 7 (50%) patients amlodipine, and 1 (7.2%) patient nifedipine. The mean age of the patients was 27.2±15.9 years (range: 18–65 years). The median time from drug intake to arrival at the hospital was 3.0 h (IQR: 1.75–5). Nine (64.28%) of these patients were detected to have intraperitoneal and intrapleural free fluid by bedside USG. The mean arterial pressure of patients with intraabdominal and intrapleural fluid was lower than that of patients without the detected fluid, i.e., 56.8 (IQR: 54.8–61.8) vs. 65.6 (IQR: 64.2–66.8), respectively (p<0.001). Conclusion: Besides the cardiovascular findings, intraperitoneal and intrapleural free fluid is also a common feature in CCB overdose. Bedside USG may help to identify these patients. (Eurasian J Emerg Med 2016; 15: 82-5)
dc.identifier.endpage85en_US
dc.identifier.issn2149-5807
dc.identifier.issn2149-6048
dc.identifier.issue2en_US
dc.identifier.startpage82en_US
dc.identifier.urihttps://app.trdizin.gov.tr/makale/TWpNNE5UUXlNZz09
dc.identifier.urihttps://hdl.handle.net/11491/7724
dc.identifier.volume15en_US
dc.indekslendigikaynakTR-Dizin
dc.institutionauthor[Belirlenecek]
dc.language.isoen
dc.relation.ispartofEurasian Journal of Emergency Medicine
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAcil Tıpen_US
dc.titleIntrapleural and Intraperitoneal Free Fluid in Calcium Channel Blocker Overdose
dc.typeArticle

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