Chloral Hydrate Overdose Survived after Cardiac Arrest with Excellent Response to Intravenous β-blocker

Journal Title: Oman Medical Journal - Year 2019, Vol 34, Issue 3

Abstract

Chloral hydrate (CH) poisoning is not commonly seen in the emergency department. CH is a commonly prescribed sedative agent for various day care procedures despite its toxic profile even when other safe sedative medications are available. We report a case of CH poisoning that manifested with neurotoxicity followed by cardiotoxicity leading to cardiac arrest. With a high index of suspicion and proper management, our patient was discharged with normal neurological outcome. In this case report, we discuss CH poisoning and toxicity with highlights on specific intervention including β-blockers. CH induced arrhythmias have been reported to be refractory to the standard antiarrhythmic medications and respond well to β-blockers.

Authors and Affiliations

Shaik Karimulla Shakeer, Babji Kalapati, Suad Abdullah Al Abri, Mujahid Al Busaidi

Keywords

Related Articles

Acute Measles Encephalitis in an Immigrant Syrian Child: Case Report and Review of the Literature

The introduction of measles vaccination programs and broad coverage worldwide has meant this infection a rare encounter for pediatricians. In Oman, with almost 100% measles vaccination coverage for children, this infecti...

Obstructed Hemivagina and Ipsilateral Renal Anomaly (OHVIRA) Syndrome

Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome is a rare congenital abnormality of the female urogenital tract. We reported OHVIRA syndrome in a 15-year-old girl, who was referred to King Faisal Sp...

The Tip of the Iceberg in Maternally Inherited Diabetes and Deafness

Maternally inherited diabetes and deafness (MIDD) is not only a disorder of the pancreas and ears but a multisystem mitochondrial disorder syndrome. Hypogonadism, however, has not been reported as a phenotypic feature of...

Screening Questionnaires for Obstructive Sleep Apnea: An Updated Systematic Review

Obstructive sleep apnea (OSA) is the most common sleep-related breathing disorder and is associated with significant morbidity. We sought to present an updated systematic review of the literature on the accuracy of scree...

  Bloodstream Bacterial Pathogens and their Antibiotic Resistance Pattern in Dhahira Region, Oman

Objectives: To describe the epidemiological, clinical, microbiological characteristics and antimicrobial resistance pattern of Bloodstream infections in Dhahira region, Oman. Methods: Clinical data was collected from...

Download PDF file
  • EP ID EP562631
  • DOI 10.5001/omj.2019.46
  • Views 96
  • Downloads 0

How To Cite

Shaik Karimulla Shakeer, Babji Kalapati, Suad Abdullah Al Abri, Mujahid Al Busaidi (2019). Chloral Hydrate Overdose Survived after Cardiac Arrest with Excellent Response to Intravenous β-blocker. Oman Medical Journal, 34(3), 244-248. https://europub.co.uk/articles/-A-562631