Reanimation unter Hypothermie nach suizidaler Butangasintoxikation^[1]

Zusammenfassung

Intoxikationen mit Schnüffelstoffen sind im Notarztdienst selten. Butan kommt dabei aufgrund seiner leichten Verfügbarkeit gerade bei Jugendlichen eine besondere Bedeutung zu. Bei missbräuchlichem Einsatz wurden wiederholt akzidentelle Todesfälle infolge maligner Arrhythmien beschrieben („Sudden Sniffing Death Syndrom“), suizidaler Einsatz von Butan ist bislang eine selten beschriebene Rarität. Bei Vorliegen einer Butanintoxikation ist der Notarzt mit pathophysiologischen Besonderheiten konfrontiert, die sich durch die physikochemischen Eigenschaften der Substanz erklären lassen. Die Behandlung eines solchen Patienten muss diesen Veränderungen Rechnung tragen. Die folgende Kasuistik schildert die Symptomatik und präklinische Therapie einer Intoxikation mit Butangas in suizidaler Absicht.

Abstract

In the emergency medicine field cases of intoxication by sniffing agents do not occur very often. Nevertheless, considering the easy availability of butane the option of abuse especially by adolescent persons cannot be ignored. Although many cases of accidental death caused by malignant arrhythmia are described (“Sudden sniffing death syndrome”), suicide attempts using butane are a rarity. In this case the emergency treatment has to allow for special pathophysiological changes explained by physicochemical characteristics of butane. The following case report describes the symptomatology and pre-hospital treatment of an intoxication by butane with a suicidal intention.

Schlüsselwörter

Butan - Intoxikation - Suizid - Hypothermie - Reanimation

Keywords

butane - intoxication - suicide - hypothermia - reanimation

¹ Erstveröffentlichung des Beitrags in: AINS 2012; 47: 78 – 85

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