ICU sedation, delirium & recovery

Acute amiodarone‐induced pulmonary toxicity in adult intensive care unit (ICU) patients with new‐onset atrial fibrillation—A systematic review

Acta Anaesthesiol ScandPublished Systematic review

Authors' conclusion

Acute APT in adult ICU patients treated with amiodarone for NOAF is poorly described and is based on a total of 16 reported cases.

Study context

Population
Adult ICU patients with new-onset atrial fibrillation or flutter (NOAF) treated with amiodarone9 case reports · 1 case series
Participants
16 patients
Outcome
Acute amiodarone-induced pulmonary toxicity (APT)

Pooled result

As reported in the abstract

Acute APT cases

Critically ill adults diagnosed with acute APT

16

Time to APT diagnosis after amiodarone initiation, mean (range 2-20 days)

9 days

Total amiodarone dose, mean (range 1100-13,500 mg)

4553 mg

Study quality: CASE criteria fulfilled of 13, mean (range 8-12)

10

Further pooled results

OutcomeValues
ICU death during amiodarone treatment (case reports)No long-term follow-up of survivorsAmiodarone 3 events
  • ICU death during amiodarone treatment (case reports): 3 of 9 patients in the case reports

Original publication

Acute amiodarone‐induced pulmonary toxicity in adult ICU patients with new‐onset atrial fibrillation—A systematic review. Acta Anaesthesiol Scand. Published 17 October 2024. doi:10.1111/aas.14535

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