Organophosphate poisoning: predicting the need for ventilatory support.
The present study evaluated 103 consecutive patients of organophosphate poisoning with special reference to the need for ventilatory support. Of 103 patients, 36(34.95%) required assisted ventilation. The need for ventilatory support was significantly more with greater time duration for institution of specific treatment, low level of sensorium at admission, pin-point pupils and generalized fasciculations, presence of convulsions, presence of respiratory insufficiency at admission, and higher initial atropine requirement for atropinization. The study also proposes a system of grading of severity, modified from the existing systems proposed.
Department of Medicine, JIPMER, Pondicherry.
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Goel
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Joseph
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Dutta
D000293:Adolescent; D000328:Adult; D001285:Atropine / Q000008:administration & dosage; D005260:Female; D006801:Humans; D008297:Male; D062025:Organophosphate Poisoning; D010276:Parasympatholytics / Q000008:administration & dosage; D011041:Poisoning / Q000628:therapy; D012121:Respiration, Artificial; D012720:Severity of Illness Index
D010276:Parasympatholytics; D001285:Atropine