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æðÞðØl>        /ðXð$ÿ5 2ð$ëc¯ƒ=#>…Æwv¢uJÏÿ˜5 S ð~€ƒ¿ÀÁÂÄËœ1ÍÎÐÑÒÓÔÕ×ÿ?@ñ÷ð8ó€ó€ÐÏúgþý46d6d´ ß0ü³fÀ âüÿÿ²ÿÿÿpûppû@ ÿ <ý4BdBdÈ·È·xb ˜ÿÿ?Ù Ú%ð‹óŸ¨XThe use of sodium bicarbonate to treat dysrhythmias in tricyclic antidepressant overdose¡YYª,'  Ÿ¨Karen Stevenson SHO in A&Eó Ÿ¨Case Study - History¡Ÿ V47yr Eð normally fit and well Self-poisoning with 84 amitriptyline tablets and quantity of alcohol GCS 14/15 at scene and refusing to travel GCS ¯ð to 7/15 en route to A&E¡.¬€€ª3kó Ÿ¨Case Study - Examination¡Ÿ¨›A - noisy but patent B - RR 24; good AE bilaterally; Sats 94% on air C - Warm peripheries; HR 154; BP 137/66 D - GCS 7/15 (E1V1M5); dilated pupils; BM 7.7óŸ¨)Case Study - Management and Complications¡**Ÿ œVenous gases - pH 7.31, bicarb 20.9, K 4.4 Anaesthetist called - R.S.I. + mechanical ventilation Þð pulseless VT cardioverted with 200J DC shock Acidosis corrected with 50mmols sodium bicarbonate ®ð pH 7.37¡$Ïck€ª>E  QóŸ¨Case Study - Progress¡Ÿ¨ŽIntubated and ventilated for further 24 hours in ITU Discharged to Ward 44 No further dysrhythmias throughout admission Neurologically intactª,W ó Ÿ¨9Potential life-threatening complications of TCA overdose ¡::Ÿ¨RSeizures Coma Hypotension Dysrhythmias - predicted by widening QRS complex > 100msª ,ó Ÿ¨Three part question¡Ÿ " In {young adults} with {tricyclic antidepressant poisoning}, is {sodium bicarbonate} proven to {reduce the incidence of cardiac dysrhythmias}? ª, _ ó Ÿ¨Search strategy¡Ÿ¨˜{antidepressive agents/ or antidepressive agents, tricyclic/} AND {exp bicarbonates} AND limit to {adult<19 to 44 years> or middle age <45 to 64 years>}ªP  Ró Ÿ¨Outcome¡Ÿ¨Ó34 papers of which 7 were relevant 3 Reviews USA 2000: overview of features and management Manchester 1999: best BET paper on alkalinisation in TCA overdose USA 1994: review of management strategies in diagnosis¡$-§-§ª~GóŸ¨Outcome (ctnd.)¡ª    Ÿ ¾2 Case studies Australia 1997: VF in imipramine OD ®ð 50 mins of CPR + 400mmols sod.bicarbonate = full recovery with no neurological sequelae USA 1992: 2 deaths from over-alkalinisation using sod.bicarbonate ®ð suggest pH<7.6¡6Ñ$¬€ªb%     G     ' óŸ¨Outcome (ctnd.)¡ª    Ÿ¨A1 Retrospective analysis Los Angeles 1993: Charts reviewed of 91 patients with TCA OD treated with sod.bicarbonate 1980-1988. No controls or confounding factors. Hypotension corrected within 1 hr in 96%; QRS prolongation corrected in 80%; 1 death. Conclude that serum alkalinisation limits major morbidity and mortality.¡$))ª   & ó Ÿ¨Discussion and Conclusions¡Ÿ¨Common practice to use sodium bicarbonate to reverse acidosis and reduce incidence of dysrhythmias in TCA overdose Lack of statistically sound evidence supporting this in adults Ethical issues associated with any future studies - need for comparison with another alkalinisation agent ª,V ¤ó Ÿ¨ References¡  Ÿ¨ÓGlauser J. Clev.Cl.J.of Med. 67(10):704-6, 709-13, 717-19, 2000 Oct. Mackway-Jones K. Em.Med.J. 16(2):139-40, 1999 Mar. Sandeman DJ, Alahakoon TI, Bentley SC. An.&Int.Care 25(5): 542-5, 1997 Oct. Newton EH, Shih RD, Hoffman RS. Am.J.Em.Med. 12(3):376-9, 1994 May. Hoffman JR, Votey SR, Bayer M, Silver L. Am.J.Em.Med. 11(4):336-41, 1993 Jul. Wrenn K, Smith BA, Slovis CM. Am.J.Em.Med. 10(6):553-5, 1992 Nov. Hoffman JR, McElroy CR. 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