Massive metoprolol overdose requiring ECMO: brief review of the evidence behind recommended treatments.

Shameen Salam, Brandon Nornhold, Jihad Mallat

BMJ case reports 2021 May 05

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A man in his late 60s developed shock after ingesting 7500 mg of metoprolol tartrate that was refractory to all medical treatment including hyperinsulinaemic euglycaemia, intravenous lipid emulsion and dialysis, eventually needing rescue extracorporeal membrane oxygenation. A brief review of the recommended treatments in beta-blocker overdose is therefore warranted. © BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.

Citation

Shameen Salam, Brandon Nornhold, Jihad Mallat. Massive metoprolol overdose requiring ECMO: brief review of the evidence behind recommended treatments. BMJ case reports. 2021 May 05;14(5)