[Different treatments used in a case of gangrene due to accidental intra-arterial injection of methylphenidate (rilatine)].
Anesth Analg (Paris), 1977/3-1977/4;34(2):405-10.
De Myttenaere S, Heifetz M, Shilansky H, Monies I, Shramek A
PMID: 71001
Abstract
A case of self-administrated injection of a solution of méthylphénidate (Rilatine) into the brachial artery is described. Intensive treatment which was started within 12 hours including repeated stellate blocks, intraarterial and intravenous injections of vasodilators and hyperbaric oxygen leaded to limited loss of the tips of the fingers. The increase hasards of intraarterial injections of dissolved tablets in addicts enhance us to investigate further on earlier and more energetic treatment in these cases.
MeSH terms
Adult; Fingers; Gangrene; Humans; Hyperbaric Oxygenation; Injections, Intra-Arterial; Male; Methylphenidate; Palliative Care; Self Administration; Self Medication; Substance-Related Disorders; Vasodilator Agents
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