On 19/8, a representative from Thai Binh Children's Hospital reported that a young boy was admitted after unintentionally consuming an unknown quantity of methadone. He initially became drowsy, then slipped into a coma. By the time he arrived at Phuc Son General Hospital in Thuy An commune, his heart had stopped.

Doctors at the local hospital immediately performed chest compressions, intubated him to assist with breathing, and administered naloxone, a methadone antidote. Recognizing the critical nature of the poisoning, the team consulted with the intensive care unit at Thai Binh Children's Hospital before transferring the boy.

Upon arrival at Thai Binh Children's Hospital, the boy was in extremely critical condition. He was in a deep coma, his pupils were constricted, he was unresponsive, and his heart rate was elevated at 140 beats per minute.

The medical team maintained his airway via intubation, established intravenous access, and closely monitored his vital signs. Due to methadone's long-lasting effects and the high risk of respiratory relapse after administering the antidote, doctors provided round-the-clock monitoring and adjusted the naloxone dosage as needed.

Treatment also involved fluid management, providing 1,800 kcal of energy daily, and frequent suctioning to maintain clear airways. For the first two days, the entire team remained on high alert, prepared for any adverse changes.

Through coordinated efforts, the boy's condition gradually improved. His blood pressure stabilized, and his pupils began responding to light. On the second day, he opened his eyes when called, regained consciousness, and gradually resumed breathing on his own. After confirming his respiratory function was stable, doctors removed the breathing tube and encouraged him to breathe independently.

The boy fully recovered and was discharged in stable condition, eating well, and engaging in normal activities without any neurological or respiratory complications.

Methadone is used as a substitute for heroin and other opioids in addiction treatment programs to alleviate withdrawal symptoms. However, it is highly toxic to those not addicted to opioids, especially children. Even a small amount can quickly lead to a deep coma, respiratory failure, and death if not promptly detected and treated. Even when lives are saved, some children suffer brain damage and remain in a vegetative state.

Doctors urge families with young children to carefully store medications, especially methadone. Those prescribed methadone for at-home use must keep it out of children's reach. The medication's pink color resembles fruit juice, making it appealing and potentially leading to accidental ingestion.

Thuy Quynh