title: [Acute lithium poisoning. Treatment with continuous arteriovenous hemofiltration. Apropos of a case].
abstract: 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.
authors.forename: A
authors.initials: A
authors.lastname: Ayuso Gatell
authors.forename: M A
authors.initials: MA
authors.lastname: León Regidor
authors.forename: J
authors.initials: J
authors.lastname: Mestre Saura
authors.forename: R M
authors.initials: RM
authors.lastname: Díaz Boladeras
authors.forename: J M
authors.initials: JM
authors.lastname: Sirvent Calvera
authors.forename: M
authors.initials: M
authors.lastname: Nolla Panadés
mesh_terms: D000208:Acute Disease; D000328:Adult; D005260:Female; D006440:Hemofiltration; D006801:Humans; D008094:Lithium / Q000097:blood / Q000506:poisoning*; D013406:Suicide, Attempted
chemical_list: D008094:Lithium
vernacular_title: Intoxicación aguda por litio. Tratamiento con hemofiltración arteriovenosa continua. A propósito de un caso.