Selected topic toxicologyCriteria for admitting patients with tricyclic antidepressant overdose
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Cited by (30)
European Resuscitation Council Guidelines for Resuscitation 2015. Section 4. Cardiac arrest in special circumstances
2015, ResuscitationCitation Excerpt :Anticholinergic effects include mydriasis, fever, dry skin, delirium, tachycardia, ileus, and urinary retention. Most life-threatening problems occur within the first 6 h after ingestion.301–303 A widening QRS complex (>100 ms) and right axis deviation indicates a greater risk of arrhythmias.304–306
Incidence of tricyclic antidepressant-like complications after cyclobenzaprine overdose
2011, American Journal of Emergency MedicineCitation Excerpt :However, in one unpublished case, authors reported a slightly widened QRS (90 to 100 milliseconds) after ingesting an estimated 2750 mg of cyclobenzaprine. However, this widening occurred on the second hospital day, which is not consistent with typical tricyclic effects that usually occur within the first 6 hours of ingestion [18]. The patient received sodium bicarbonate infusion, and the QRS narrowed to 86 milliseconds by hospital day 12 [11].
European Resuscitation Council Guidelines for Resuscitation 2010 Section 8. Cardiac arrest in special circumstances: Electrolyte abnormalities, poisoning, drowning, accidental hypothermia, hyperthermia, asthma, anaphylaxis, cardiac surgery, trauma, pregnancy, electrocution
2010, ResuscitationCitation Excerpt :Anticholinergic effects include mydriasis, fever, dry skin, delirium, tachycardia, ileus, and urinary retention. Most life-threatening problems occur within the first 6 h after ingestion.50–52 A widening QRS complex (>100 ms) and right axis deviation indicates a greater risk of arrhythmias.53–55
Characteristics, Pathophysiology, and Effects of Common Toxic Substances
2008, Critical Care Nephrology, Second EditionAre one or two dangerous? Tricyclic antidepressant exposure in toddlers
2005, Journal of Emergency MedicineToxicology in the critically ill patient
2003, Clinics in Chest Medicine