Why the study?
Does intravenous sodium bicarbonate infusion reverse electrocardiographic abnormalities in a patient with crack cocaine overdose?
Does intravenous sodium bicarbonate infusion reverse electrocardiographic abnormalities in a patient with crack cocaine overdose?
Intravenous sodium bicarbonate may be effective in reversing severe electrocardiographic abnormalities associated with crack cocaine overdose.
May support sodium bicarbonate trial in crack cocaine overdose ECG changes; hypothesis-generating and should not yet change practice.
We report a dramatic case of a 19-year-old man with crack cocaine overdose with important clinical complications as cardiac arrest due to ventricular fibrillation and epileptics status. During this intoxication, electrocardiographic abnormalities similar to those found in tricyclic antidepressant poisoning were observed, and they were reversed by intravenous sodium bicarbonate infusion.
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Miranda et al. (2013) studied this question.
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