Emergency hemodialysis in the management of intoxication.
Management of intoxicated patients has many aspects in a wide spectrum, beginning with decontamination processes and basic supportive care. The most logical therapeutic approach is probably the specific antidotes, when available and/or applicable. On the other hand, many chemicals and drugs, can be removed from the body by means of hemodialysis or hemoperfusion while treating vital sign abnormalities and electrolyte and acid-base disturbances of the patient. In this paper, we describe 11 cases of intoxication, 6 with methyl alcohol, 3 with lithium, and 2 with salicylate, admitted to emergency department and treated with hemodialysis between January 1, 2002 and December 31, 2004. We review their medical charts and detailed demographic data, medical history, type of exposure, clinical and laboratory presentations, duration of hemodialysis performed, and the outcome.
Satar
Salim
S
Department of Emergency Medicine, Cukurova University, School of Medicine, Balcali/Adana, Turkey. ssatar@cu.edu.tr
Alpay
Nezihat Rana
NR
Sebe
Ahmet
A
Gokel
Yuksel
Y
D000328:Adult; D000368:Aged; D004632:Emergency Medical Services; D005260:Female; D006801:Humans; D018020:Lithium Compounds / Q000097:blood / Q000506:poisoning; D008297:Male; D000432:Methanol / Q000097:blood / Q000506:poisoning; D008875:Middle Aged; D011041:Poisoning / Q000097:blood / Q000628:therapy*; D006435:Renal Dialysis; D012459:Salicylates / Q000097:blood / Q000506:poisoning; D013406:Suicide, Attempted; D016896:Treatment Outcome
D018020:Lithium Compounds; D012459:Salicylates; D000432:Methanol