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Airway obstruction due to mucus plug in patients with Organophosphorous poisoning – Atropine the culprit? A case series

Authors:

Sajjan Prashant Shivaraj ,

Aarupadai Veedu Medical College, IN
About Sajjan Prashant
Associate Professor
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Kulkarni Vandana Sharashchandra

Aarupadai Veedu Medical College, IN
About Kulkarni Vandana
Associate Professor
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Abstract

Organophoshorous poisoning is a common cause of death in developing countries. These compounds inhibit acetylcholinesterase leading to accumulation of acetylcholine, causing overstimulation of nicotinic and muscarinic receptors. Atropine and oximes are the mainstay of treatment. Atropine helps in countering muscarinic effects and decreasing secretions. It also makes the secretions thick, tenacious and may obstruct the airway. We observed five cases of organophosphorus poisoning being treated with atropine developing sudden respiratory distress attributed to mucus plug obstructing the airway which was confused with intermediate syndrome. After removal of the mucus plug these patients recovered uneventfully.
How to Cite: Shivaraj, S.P. and Sharashchandra, K.V., 2021. Airway obstruction due to mucus plug in patients with Organophosphorous poisoning – Atropine the culprit? A case series. Sri Lankan Journal of Anaesthesiology, 29(1), pp.55–58. DOI: http://doi.org/10.4038/slja.v29i1.8645
Published on 28 Apr 2021.
Peer Reviewed

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