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

Abstract

Abstract:Supervasmol 33 ® is a popular emulsion-based permanent hair dye, containing mainly paraphenylenediamine (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.