Comparison between kidney and hemoperfusion for paraquat elimination.
The mortality rate of acute paraquat (PQ) poisoning depends on the PQ concentration in the blood. It has been shown that the kidneys eliminate PQ effectively. However, early renal function deterioration is frequently observed in acute PQ intoxication. This study is designed to compare the efficacy of PQ elimination with hemoperfusion (HP) and kidneys, taking into account the functional deterioration of the kidneys. The amount of renal and HP excretion of PQ were measured during the procedure of HP in patients with acute PQ intoxication. The PQ clearance and the actual amount of PQ elimination by the HP cartridge during the HP procedure were 111+/-11 mL/min (range; 13.2-162.2 mL/min) and 251.4+/-506.3 mg (range; 4.6-1,655.7) each. While, the renal clearance and actual amount of renal elimination of PQ was 79.8+/-56.0 mL/min (range; 9.7-177.0) and 75.4+/-73.6 mg (range; 4.9-245.8). As the creatinine clearance decreased, the PQ elimination by HP was as effective as or more effective than the renal elimination. In conclusion, early HP must be provided for life saving treatment in patients with acute PQ intoxication.
Kang
Moon-Soo
MS
Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
Gil
Hyo-Wook
HW
Yang
Jong-Oh
JO
Lee
Eun-Young
EY
Hong
Sae-Yong
SY
D000328:Adult; D000368:Aged; D003404:Creatinine / Q000097:blood; D062787:Drug Overdose / Q000628:therapy; D004635:Emergency Medicine / Q000379:methods; D005260:Female; D006464:Hemoperfusion / Q000379:methods*; D006540:Herbicides / Q000506:poisoning*; D006801:Humans; D007668:Kidney / Q000187:drug effects / Q000502:physiology; D008297:Male; D008875:Middle Aged; D010269:Paraquat / Q000506:poisoning*; D006435:Renal Dialysis / Q000379:methods*; D013405:Suicide
D006540:Herbicides; D003404:Creatinine; D010269:Paraquat