• J. Toxicol. Clin. Toxicol. · Jan 1987

    Case Reports

    Therapeutic problems in cyanide poisoning.

    • A N van Heijst, J M Douze, R G van Kesteren, J E van Bergen, and A van Dijk.
    • Department of Reanimation and Clinical Toxicology, State University Hospital, Utrecht, The Netherlands.
    • J. Toxicol. Clin. Toxicol. 1987 Jan 1;25(5):383-98.

    AbstractIn three patients with severe acute cyanide poisoning, a cyanosis was observed instead of the bright pink skin coloration often mentioned as a sign in textbooks. Treatment of cardiopulmonary insufficiency is as essential as antidotal therapy and the use of sodium nitrite and 4-DMAP is not without risk as, in practice, the methemoglobin-level induced is difficult to control.

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