Application of Veno‐Arterial ECMO Combined With Hemoperfusion in the Treatment of a Patient With Yunaconitine Poisoning: A Case Report

ABSTRACT A 40‐year‐old man, after accidentally ingesting aconitine in a herbal remedy, suffered severe poisoning symptoms and was diagnosed with multiple arrhythmias. He quickly received veno‐arterial extracorporeal membrane oxygenation (VA‐ECMO) and hemoperfusion in the ICU, along with continuous r...

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Main Authors: Zhuo Jiang, Yue Zhuang, Xueting Hu, Wei Chen, Fei Xia, Xiaoxia Hu, Aixiang Yang, Weiyi Tao
Format: Article
Language:English
Published: Wiley 2025-03-01
Series:Annals of Noninvasive Electrocardiology
Subjects:
Online Access:https://doi.org/10.1111/anec.70051
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author Zhuo Jiang
Yue Zhuang
Xueting Hu
Wei Chen
Fei Xia
Xiaoxia Hu
Aixiang Yang
Weiyi Tao
author_facet Zhuo Jiang
Yue Zhuang
Xueting Hu
Wei Chen
Fei Xia
Xiaoxia Hu
Aixiang Yang
Weiyi Tao
author_sort Zhuo Jiang
collection DOAJ
description ABSTRACT A 40‐year‐old man, after accidentally ingesting aconitine in a herbal remedy, suffered severe poisoning symptoms and was diagnosed with multiple arrhythmias. He quickly received veno‐arterial extracorporeal membrane oxygenation (VA‐ECMO) and hemoperfusion in the ICU, along with continuous renal replacement therapy (CRRT) to stabilize his internal environment. The treatment controlled the arrhythmias, restored heart function, and alleviated acidosis. The patient was discharged feeling well after 9 days. This combined therapy is valuable for severe aconitine poisoning, especially when specific antidotes are lacking, as it provides critical life support and effectively removes toxins.
format Article
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institution DOAJ
issn 1082-720X
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language English
publishDate 2025-03-01
publisher Wiley
record_format Article
series Annals of Noninvasive Electrocardiology
spelling doaj-art-a437cc3332cc4e7b8f28ecae076d1bad2025-08-20T02:49:44ZengWileyAnnals of Noninvasive Electrocardiology1082-720X1542-474X2025-03-01302n/an/a10.1111/anec.70051Application of Veno‐Arterial ECMO Combined With Hemoperfusion in the Treatment of a Patient With Yunaconitine Poisoning: A Case ReportZhuo Jiang0Yue Zhuang1Xueting Hu2Wei Chen3Fei Xia4Xiaoxia Hu5Aixiang Yang6Weiyi Tao7Department of Emergency and Critical Care Medicine, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School of Nanjing Medical University Suzhou Clinical Medical Center of Critical Care Medicine Suzhou ChinaDepartment of Emergency and Critical Care Medicine, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School of Nanjing Medical University Suzhou Clinical Medical Center of Critical Care Medicine Suzhou ChinaDepartment of Emergency and Critical Care Medicine, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School of Nanjing Medical University Suzhou Clinical Medical Center of Critical Care Medicine Suzhou ChinaDepartment of Emergency and Critical Care Medicine, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School of Nanjing Medical University Suzhou Clinical Medical Center of Critical Care Medicine Suzhou ChinaDepartment of Emergency and Critical Care Medicine, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School of Nanjing Medical University Suzhou Clinical Medical Center of Critical Care Medicine Suzhou ChinaDepartment of Emergency and Critical Care Medicine, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School of Nanjing Medical University Suzhou Clinical Medical Center of Critical Care Medicine Suzhou ChinaDepartment of Emergency and Critical Care Medicine, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School of Nanjing Medical University Suzhou Clinical Medical Center of Critical Care Medicine Suzhou ChinaDepartment of Emergency and Critical Care Medicine, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School of Nanjing Medical University Suzhou Clinical Medical Center of Critical Care Medicine Suzhou ChinaABSTRACT A 40‐year‐old man, after accidentally ingesting aconitine in a herbal remedy, suffered severe poisoning symptoms and was diagnosed with multiple arrhythmias. He quickly received veno‐arterial extracorporeal membrane oxygenation (VA‐ECMO) and hemoperfusion in the ICU, along with continuous renal replacement therapy (CRRT) to stabilize his internal environment. The treatment controlled the arrhythmias, restored heart function, and alleviated acidosis. The patient was discharged feeling well after 9 days. This combined therapy is valuable for severe aconitine poisoning, especially when specific antidotes are lacking, as it provides critical life support and effectively removes toxins.https://doi.org/10.1111/anec.70051emergency and critical careICUrenal replacement therapyveno‐arterial extracorporeal membrane oxygenation
spellingShingle Zhuo Jiang
Yue Zhuang
Xueting Hu
Wei Chen
Fei Xia
Xiaoxia Hu
Aixiang Yang
Weiyi Tao
Application of Veno‐Arterial ECMO Combined With Hemoperfusion in the Treatment of a Patient With Yunaconitine Poisoning: A Case Report
Annals of Noninvasive Electrocardiology
emergency and critical care
ICU
renal replacement therapy
veno‐arterial extracorporeal membrane oxygenation
title Application of Veno‐Arterial ECMO Combined With Hemoperfusion in the Treatment of a Patient With Yunaconitine Poisoning: A Case Report
title_full Application of Veno‐Arterial ECMO Combined With Hemoperfusion in the Treatment of a Patient With Yunaconitine Poisoning: A Case Report
title_fullStr Application of Veno‐Arterial ECMO Combined With Hemoperfusion in the Treatment of a Patient With Yunaconitine Poisoning: A Case Report
title_full_unstemmed Application of Veno‐Arterial ECMO Combined With Hemoperfusion in the Treatment of a Patient With Yunaconitine Poisoning: A Case Report
title_short Application of Veno‐Arterial ECMO Combined With Hemoperfusion in the Treatment of a Patient With Yunaconitine Poisoning: A Case Report
title_sort application of veno arterial ecmo combined with hemoperfusion in the treatment of a patient with yunaconitine poisoning a case report
topic emergency and critical care
ICU
renal replacement therapy
veno‐arterial extracorporeal membrane oxygenation
url https://doi.org/10.1111/anec.70051
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