[Acute lithium poisoning. Treatment with continuous arteriovenous hemofiltration. Apropos of a case].
We report a suicide attempt with lithium, chlorpromazine and flunitrazepam. In case of intoxication, renal excretion of lithium can be facilitated with forced diuresis by the administration of large volumes of saline solution, peritoneal dialysis or hemodialysis. In the case of our patient, treatment with saline solution was not effective, so continuous arteriovenous hemofiltration (CAVH) was performed achieving a decrease in serum lithium and obtaining a prompt clinical improvement. No secondary effects or serum lithium rebound effect were observed. We have not found any previous record of the use of CAVH in the treatment of acute lithium intoxication.
Ayuso Gatell
A
A
León Regidor
M A
MA
Mestre Saura
J
J
Díaz Boladeras
R M
RM
Sirvent Calvera
J M
JM
Nolla Panadés
M
M
D000208:Acute Disease; D000328:Adult; D005260:Female; D006440:Hemofiltration; D006801:Humans; D008094:Lithium / Q000097:blood / Q000506:poisoning*; D013406:Suicide, Attempted
D008094:Lithium
Intoxicación aguda por litio. Tratamiento con hemofiltración arteriovenosa continua. A propósito de un caso.