A Case of Self-salvation in a Determined Chloroquine Suicide Attempt

This report concerns a young man who attempted suicide by ingesting a cocktail with a lethal dose of chloroquine phosphate and large amounts of diazepam. On presentation, the patient was drowsy, unresponsive and in cardiogenic shock with severely impaired left ventricular function. Active charcoal and vasopressors were administered, and despite his intoxication with diazepam, a high-dose diazepam treatment was initiated in the hospital. It is concluded that diazepam in the cocktail played a vital role in the survival of this patient. With a rise in numbers, every emergency and intensive care physician should be familiar with chloroquine poisoning.

Artificial intelligence: what should an intensivist have in mind in the beginning of the new era?

A new era is coming for medicine, and for critical care in particular. The intensive care unit is at the edge of being completely changed by artificial intelligence, and many challenges are ahead of the intensive care physician. This article aims to address the benefits and difficulties that big data will bring to clinicians, and to provide an overview on the subject. Key words: Big Data; Artificial intelligence; ICU; Critical Care; Black box Citation: Filho LACB. Artificial intelligence: what should an intensivist have in mind in the beginning of the new era. Anaesth. Pain intensive care 2021;25(1):8-12. DOI: 10.35975/apic.v25i1.1428 Received: 10 December 2020, Reviewed: 3 January 2021, Accepted: 8 January 2021

A complex obstetric case

A 33-year-old primigravida presented with severe sepsis, severe pre-eclampsia, peripartum cardiomyopathy and the haemolysis, elevated liver enzymes and low platelets syndrome manifesting over the course of 24 h causing a diagnostic conundrum and a difficult sequence of physiological problems to overcome. We describe a previously unreported sequence of events involving a pre-eclamptic, septic parturient to improve anaesthetic and intensive care physician awareness of confounding factors that complicate assessment and management of these patients.