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Indian J Crit Care Med · Dec 2014
Potassium permanganate toxicity: A rare case with difficult airway management and hepatic damage.
- Vijay Kumar Agrawal, Abhishek Bansal, Ranjeet Kumar, Bhanwar Lal Kumawat, and Parul Mahajan.
- Department of Critical Care Medicine and Pulmonology, Metro Heart Institute with Multispeciality, Sector 16A, Faridabad, Haryana, India.
- Indian J Crit Care Med. 2014 Dec 1; 18 (12): 819-21.
AbstractPotassium permanganate (KMnO4) is rarely used for suicidal attempt. Its ingestion can lead to local as well as systemic toxicities due to coagulation necrosis and damage, caused by free radicals of permanganate. We recently managed a case of suicidal ingestion of KMnO4 in a lethal dose. She had significant narrowing of upper airway leading to difficult intubation as well as hepatic dysfunction and coagulopathy as systemic manifestation. We suggest to keep ourselves ready to handle difficult airway with the aid of fiber optic bronchoscope or surgical airway management in such patients. Upper gastrointestinal (GI) endoscopy should be done at the earliest to determine the extent of upper GI injury and further nutrition planning.
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