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Severe Metformin Poisoning Successfully Treated with Simultaneous Venovenous Hemofiltration and Prolonged Intermittent Hemodialysis
Joint Authors
Rasmussen, Bodil Steen
Leonaviciute, Dovile
Madsen, Bo
Schmedes, Anne
Buus, Niels H.
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-05-08
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Metformin poisoning is a life-threatening condition with a high mortality rate.
We present a patient case of metformin poisoning following intake of 80 g metformin resulting in severe lactate acidosis with a nadir pH of 6.73 and circulatory collapse, successfully treated with addition of prolonged intermittent hemodialysis (HD) to continuous venovenous hemofiltration (CVVH).
The patient’s pH became normal 48 hours after metformin ingestion during simultaneous CVVH and addition of 22 hours of intermittent HD in the ICU.
The highest metformin level was found to be 991 μmol/L (therapeutic range 3.9–23.2 μmol/L).
We conclude that in cases of severe metformin poisoning with circulatory shock and extreme lactic acidosis, the usual CVVH modality might not efficiently clear metformin.
Therefore, additional prolonged HD should be considered even in the state of cardiovascular collapse with vasopressor requirement.
American Psychological Association (APA)
Leonaviciute, Dovile& Madsen, Bo& Schmedes, Anne& Buus, Niels H.& Rasmussen, Bodil Steen. 2018. Severe Metformin Poisoning Successfully Treated with Simultaneous Venovenous Hemofiltration and Prolonged Intermittent Hemodialysis. Case Reports in Critical Care،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1141562
Modern Language Association (MLA)
Leonaviciute, Dovile…[et al.]. Severe Metformin Poisoning Successfully Treated with Simultaneous Venovenous Hemofiltration and Prolonged Intermittent Hemodialysis. Case Reports in Critical Care No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1141562
American Medical Association (AMA)
Leonaviciute, Dovile& Madsen, Bo& Schmedes, Anne& Buus, Niels H.& Rasmussen, Bodil Steen. Severe Metformin Poisoning Successfully Treated with Simultaneous Venovenous Hemofiltration and Prolonged Intermittent Hemodialysis. Case Reports in Critical Care. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1141562
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1141562