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Cardiac arrest following direct intravenous administration of a citrate anticoagulant solution
Annals of Emergency Medicine
|November 1, 1986
Insights
Direct intravenous citrate phosphate dextrose administration caused citrate intoxication and cardiac arrest. Treatment involved open cardiac massage and calcium chloride, with rehabilitation for neurological and psychiatric issues.
Area of Science:
- Cardiology
- Toxicology
- Emergency Medicine
Background:
- Citrate phosphate dextrose (CPD) is commonly used as an anticoagulant in blood products.
- Direct intravenous administration of CPD can lead to citrate toxicity.
- Citrate intoxication can precipitate life-threatening complications such as cardiac arrest.
Abstract:
We describe a case of citrate intoxication and cardiac arrest that resulted from the inadvertent direct IV administration of citrate phosphate dextrose solution. Treatment included thoracotomy with open cardiac massage and CaCl administration. The patient was placed in a rehabilitation program for residual spacticity and weakness, and for psychiatric problems.