{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:32:56Z","timestamp":1777375976922,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[1997,10,1]],"date-time":"1997-10-01T00:00:00Z","timestamp":875664000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anaesth Intensive Care"],"published-print":{"date-parts":[[1997,10]]},"abstract":"<jats:p>\n                    Serious complications from tricyclic antidepressant (TCA) overdose are uncommon\n                    <jats:sup>1,2,3<\/jats:sup>\n                    . We present a case of massive imipramine overdose complicated by ventricular fibrillation and a prolonged period of cardiovascular collapse. A total of 400 mmol of sodium bicarbonate, 5 mg of adrenaline and 80 mg of sotalol were given during 50 minutes of cardiac arrest. The patient made a full recovery with no apparent neurological sequelae. The highest TCA plasma level we could find in the published literature was 4873 ng\/ml\n                    <jats:sup>4<\/jats:sup>\n                    ; our patient's peak TCA level was 6000 ng\/ml. Tricyclic antidepressant overdose is a common cause of intensive care unit admission. It has a low mortality rate.\n                  <\/jats:p>","DOI":"10.1177\/0310057x9702500516","type":"journal-article","created":{"date-parts":[[2019,1,22]],"date-time":"2019-01-22T18:52:46Z","timestamp":1548183166000},"page":"542-545","source":"Crossref","is-referenced-by-count":25,"title":["Tricyclic Poisoning\u2014Successful Management of Ventricular Fibrillation following Massive Overdose of Imipramine"],"prefix":"10.1177","volume":"25","author":[{"given":"D. J.","family":"Sandeman","sequence":"first","affiliation":[{"name":"Royal Prince Alfred Hospital, Camperdown, N.S.W."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T. I.","family":"Alahakoon","sequence":"additional","affiliation":[{"name":"Wollongong Hospital."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. 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