<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0484-7903</journal-id>
<journal-title><![CDATA[Revista mexicana de anestesiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. anestesiol.]]></abbrev-journal-title>
<issn>0484-7903</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Anestesiología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0484-79032024000300202</article-id>
<article-id pub-id-type="doi">10.35366/116174</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Cyanide poisoning treated with high doses of hydroxocobalamin. Case report and review of this complication]]></article-title>
<article-title xml:lang="es"><![CDATA[Intoxicación por cianuro tratada con dosis altas de hidroxocobalamina. Reporte de caso y reseña de esta complicación]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Ajami]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Viscasillas-Navarro]]></surname>
<given-names><![CDATA[Elisa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gallego-Goyanes]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Enguídanos-Sánchez]]></surname>
<given-names><![CDATA[Celia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Egea-Belda]]></surname>
<given-names><![CDATA[Joan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guiu-Pérez]]></surname>
<given-names><![CDATA[Abel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital La Fe  ]]></institution>
<addr-line><![CDATA[Valencia ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital La Ribera  ]]></institution>
<addr-line><![CDATA[Alzira ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital La Fe  ]]></institution>
<addr-line><![CDATA[Valencia ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<volume>47</volume>
<numero>3</numero>
<fpage>202</fpage>
<lpage>204</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0484-79032024000300202&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0484-79032024000300202&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0484-79032024000300202&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Cyanide poisoning frequently complicates major burn injuries with inhalation syndrome. The established treatment protocol recommends a standard dose of 70 mg/kg of hydroxocobalamin for adults, with the option to administer a second dose, not exceeding a maximum of 140 mg/kg. Our objective is to chronicle the case of a patient for whom an escalated dosage, exceeding the approved limit, was imperative to reverse the intoxication. The unconventional decision to administer such high doses proved life-saving, albeit not conforming to the medication&#8217;s technical specifications. Notably, side effects observed were not markedly worse than those associated with the standard dose, except for the occurrence of moderate kidney failure. It is worth noting that this renal complication is also documented with standard doses and did not necessitate renal replacement therapy.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La intoxicación por cianuro frecuentemente complica las lesiones por quemaduras graves con síndrome de inhalación. El protocolo de tratamiento establecido recomienda una dosis estándar de 70 mg/kg de hidroxocobalamina para adultos, con la opción de administrar una segunda dosis, que no exceda un máximo de 140 mg/kg. Nuestro objetivo es relatar el caso de un paciente para quien una dosis escalonada, que excedía el límite aprobado, era imperativa para revertir la intoxicación. La decisión no convencional de administrar dosis tan altas resultó en salvarle la vida, aunque no se ajustara a las especificaciones técnicas del medicamento. Cabe destacar que los efectos secundarios observados no fueron notablemente peores que los asociados con la dosis estándar, excepto por la aparición de una insuficiencia renal moderada. Vale la pena mencionar que esta complicación renal también está documentada con dosis estándar y no requirió terapia de reemplazo renal.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[cyanide poisoning]]></kwd>
<kwd lng="en"><![CDATA[inhalation syndrome]]></kwd>
<kwd lng="en"><![CDATA[hydroxocobalamin]]></kwd>
<kwd lng="en"><![CDATA[kydney failure]]></kwd>
<kwd lng="en"><![CDATA[major burn patient]]></kwd>
<kwd lng="es"><![CDATA[intoxicación por cianuro]]></kwd>
<kwd lng="es"><![CDATA[síndrome de inhalación]]></kwd>
<kwd lng="es"><![CDATA[hidroxocobalamina]]></kwd>
<kwd lng="es"><![CDATA[insuficiencia renal]]></kwd>
<kwd lng="es"><![CDATA[paciente quemado grave]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sanchez]]></surname>
<given-names><![CDATA[RJJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Stability of hydroxocobalamin in water for injection as an antidote against cyanides: elaborated from military pharmacy]]></article-title>
<source><![CDATA[Sanid Mil]]></source>
<year>2012</year>
<volume>68</volume>
<page-range>87-96</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gonzales]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Sabatini]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cyanide poisoning: pathophysiology and current approaches to therapy]]></article-title>
<source><![CDATA[Int J Artif Organs]]></source>
<year>1989</year>
<volume>12</volume>
<page-range>347-55</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cummings]]></surname>
<given-names><![CDATA[TF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The treatment of cyanide poisoning]]></article-title>
<source><![CDATA[Occup Med (Lond)]]></source>
<year>2004</year>
<volume>54</volume>
<page-range>82-5</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Friedman]]></surname>
<given-names><![CDATA[BT]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[BC]]></given-names>
</name>
<name>
<surname><![CDATA[Latimer]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Valento]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Iatrogenic pediatric hydroxocobalamin overdose]]></article-title>
<source><![CDATA[Am J Emerg Med]]></source>
<year>2019</year>
<volume>37</volume>
<page-range>1394.e1-2</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[MacLennan]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Moiemen]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Management of cyanide toxicity in patients with burns]]></article-title>
<source><![CDATA[Burns]]></source>
<year>2015</year>
<volume>41</volume>
<page-range>18-24</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
