title: Hemoperfusion in "late" paracetamol poisoning.
abstract: Seven patients who presented to hospital later than 10 h following an overdose of paracetamol were treated by charcoal hemoperfusion. In all cases there was a rapid fall in the plasma paracetamol concentrations, although the total amounts of drug removed varied from 364.5 to 6699 mg. One patient developed fulminant hepatic failure and died; the remainder recovered, sustaining only mild hepatic damage (maximum AST less than 1000 IU/L). Charcoal hemoperfusion may be effective in mitigating the severity of liver injury in those patients who are not eligible to receive specific antidotal therapy.
mesh_terms: D000082:Acetaminophen / Q000097:blood / Q000506:poisoning*; D000328:Adult; D000368:Aged; D005260:Female; D006464:Hemoperfusion; D006801:Humans; D008297:Male; D008875:Middle Aged
chemical_list: D000082:Acetaminophen