RESUMOOs carbamatos usados com inseticidas são compostos anticolinesterásicos com variado grau de toxicidade para o ser humano. A maioria das intoxicações por esses agentes ocorre por exposição acidental da derme. Entretanto, ocorrem também ingestões acidentais e suicidas. Este relato de caso objetiva abordar o manejo intensivo da síndrome colinérgica em unidade de terapia Abordamos o caso de um paciente jovem do sexo masculino, internado na UTI clínica do Hospital Universitário Walter Cantídio, admitido após ingestão intencional da substância aldicarbe ("chumbinho"), que é utilizado de forma irregular como raticida e sabidamente possui efeitos colinérgicos. O paciente apresentava rebaixamento do nível de consciência, bradicardia, sialorréia e Palavras-chave: Inseticidas organofosforados. Intoxicação por organofosfatos. Bradicardia. Agonistas colinérgicos. Atropina. ABSTRACTCarbamates used as insecticides are anticholinesterase compounds with varying degrees of toxicity to humans. Most poisonings by these agents occurs by accidental dermal exposure. However, there are also accidental and suicidal ingestions. The objective of this case report is the management of cholinergic syndrome in the intensive care unit.We report a case of a young male patient, admitted to the Intensive Care Unit of the Hospital Universitário Walter Cantídio, admitted after intentional ingestion of the substance aldicarbe ("chumbinho" or "small shot"), also used as rat poison and known to have cholinergic effects. The patient had decreased level of consciousness, bradycardia, salivation and respiratory failure.
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