A fatal case of acute bentazone overdose despite cricothyroidotomy during cardiopulmonary resuscitation

Bentazone is classified as a moderately hazardous (class II) herbicide by the World Health Organization. A 53-year-old Korean woman was transferred to the emergency department after a suicide attempt using approximately 500 mL of bentazone one hour prior to admission. Upon admission, she was alert and tachycardia of 125/min was observed. She was treated with gastric lavage and activated charcoal, during which she experienced diarrhea. Two hours after bentazone ingestion, cardiac arrest and muscle rigidity throughout the body occurred. Cardiopulmonary resuscitation was immediately started. Endotracheal intubation after administration of a muscle relaxant (succinylcholine) was unsuccessful because of temporomandibular joint muscle rigidity. Surgical cricothyroidotomy was performed by the emergency physician, but the patient was not resuscitated. For cardiac arrest patients with muscle rigidity caused by bentazone overdose, endotracheal intubation may be challenging because of muscle rigidity, despite appropriate use of muscle relaxants. Early surgical cricothyroidotomy may be the preferred method of airway management in these patients

Quasi-Eigenstate Evolution in Open Chaotic Billiards

We experimentally studied evolution of quasi-eigenmodes as classical dynamics undergoing a transition from being regular to chaotic in open quantum billiards. In a deformation-variable microcavity we traced all high-Q cavity modes in a wide range of frequency as the cavity deformation increased. By employing an internal parameter we were able to obtain a mode-dynamics diagram at a given deformation, showing avoided crossings between different mode groups, and could directly observe the coupling strengths induced by ray chaos among encountering modes. We also show that the observed mode-dynamics diagrams reflect the underlying classical ray dynamics in the phase space.Comment: 4 pages, 4 figure

Development of deformation-tunable quadrupolar microcavity

We have developed a technique for realizing a two-dimensional quadrupolar microcavity with its deformation variable from 0% to 20% continuously. We employed a microjet ejected from a noncircular orifice in order to generate a stationary column with modulated quadrupolar deformation in its cross section. Wavelength red shifts of low-order cavity modes due to shape deformation were measured and were found to be in good agreement with the wave calculation for the same deformation, indicating the observed deformation is quadrupolar in nature.Comment: 7 pages, 6 figures, intended for Rev. Sci. Instu