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Journal of Case Reports
Successful Management of Cardiac Arrest Following Hair Dye Poisoning: A Case Report from a Rural Critical Care Unit in India

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Harish Handyal1, Gopi Kumar1, Rajesh Babu1, S.M. Kannan2, Chandrakiran Reddy R.N3
Departments of 1Critical Care, 2Anaesthesia and 3Surgery, RDT hospital, Bathalapalli, Anantapur District, Andhra Pradesh, India.
Corresponding Author:
Dr. Harish Handyal
Email: drharry69@gmail.com
Received: 04-AUG-2016 Accepted: 25-OCT-2016 Published Online: 05-DEC-2016
DOI: http://dx.doi.org/10.17659/01.2016.0137
Abstract
Supervasmol 33® is a popular emulsion-based permanent hair dye, containing mainly paraphenylene-diamine (PPD) and has been emerging as one of the important causes of intentional self-harm in the developing world. The effect of PPD when ingested is serious and includes cervicofacial edema, mucosal injury, respiratory distress, rhabdomyolysis, acute renal failure and myocardial injury. We herewith report a case of hair dye poisoning in which patient developed cardiac arrest and was managed successfully in our critical care. In conclusion, early recognition and treatment is vital with special emphasis on airway management. In case of cardiac arrest, to follow ACLS guidelines for CPR and strictly adhere to post-arrest bundle care, which may ensure optimal neurological outcomes. Finally, appropriate therapy without delay results in better outcome, including in a rural critical care setting.
Keywords : Airway Management, Edema, Hair Dyes, Heart Arrest, Phenylenediamines.
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