title: Respiratory failure requiring extracorporeal membrane oxygenation after sodium phosphate enema intoxication.
abstract: A variety of adverse effects are associated with the use of hypertonic sodium phosphate enemas and laxatives in children. We describe an unusual case of phosphate enema toxicity in a child that resulted in cardiopulmonary failure necessitating the use of extracorporeal membrane oxygenation. The toxicity associated with hypertonic sodium phosphate enemas is reviewed.
  
  
  CONCLUSIONS
  Hypertonic sodium phosphate enemas can cause cardiopulmonary failure.
authors.affiliation: Greenwood Genetic Center, Greenwood, South Carolina, USA, USA.
authors.forename: David B
authors.initials: DB
authors.lastname: Everman
authors.affiliation: Division of Critical Care, Children's Hospital Medical Center, Cincinnati, Ohio, USA, USA.|Department of Pediatrics, Riley Hospital for Children, Room 5900, 702 Barn Hill Drive, Indianapolis, IN 46202, USA, Tel.: +1-317-2747810, Fax: +1-317-2744471, e-mail: ninomara@hotmail.com, USA.
authors.forename: Mara E
authors.initials: ME
authors.lastname: Nitu
authors.affiliation: Division of Critical Care, Children's Hospital Medical Center, Cincinnati, Ohio, USA, USA.
authors.forename: Brian R
authors.initials: BR
authors.lastname: Jacobs
mesh_terms: D004733:Enema / Q000009:adverse effects*; D015199:Extracorporeal Membrane Oxygenation; D006801:Humans; D007223:Infant; D008297:Male; D010710:Phosphates / Q000009:adverse effects*; D012131:Respiratory Insufficiency / Q000139:chemically induced*
chemical_list: D010710:Phosphates; C018279:sodium phosphate