title: Management of celphos poisoning with a novel intervention: A ray of hope in the darkest of clouds.
abstract: BACKGROUND
  Celphos poisoning is one the most common and lethal poisonings with no antidote available till now.
  
  
  OBJECTIVE
  To evaluate the effectiveness of new treatment regimens and interventions in reduction of mortality from the fatal effects of celphos poisoning.
  
  
  METHODS
  A profile of 33 patients, who got admitted in Intensive Care Unit (ICU) of our institute with alleged intake of celphos pellets, was studied.
  
  
  METHODS
  In all the 33 patients with alleged celphos poisoning, extensive gastric lavage was done with a mixture of coconut oil and sodium bicarbonate solution. Strict monitoring, both invasive and non-invasive, was done and symptomatic/supportive treatment was carried out on a patient to patient basis.
  
  
  METHODS
  At the end of the study, all the data were compiled systematically and statistical analysis was carried out using the non-parametric tests and value of P<0.05 was considered significant.
  
  
  RESULTS
  Majority of the patients out of the total 33 were young with mean age of 21.86±4.92 and had good educational level. Most of the patients presented clinically with cardiovascular signs and symptoms (58%), followed by respiratory distress (15%) and little higher incidence of multi-organ symptomatology (18%). The mean stay of the patients in ICU was 5.84±1.86 days and the survival rate was 42%.
  
  
  CONCLUSIONS
  With the treatment regimen we have formulated, we were able to save 42% of our patients and recommend the use of this regimen by all the intensivists and physicians.
authors.affiliation: Anaesthesiology and Intensive Care, Gian Sagar Medical College and Hospital, Ram Nagar, Banur, Punjab, India.
authors.forename: Sukhminder Jit Singh
authors.initials: SJ
authors.lastname: Bajwa
authors.affiliation: Anaesthesiology and Intensive Care, Gian Sagar Medical College and Hospital, Ram Nagar, Banur, Punjab, India.
authors.forename: Sukhwinder Kaur
authors.initials: SK
authors.lastname: Bajwa
authors.affiliation: Anaesthesiology and Intensive Care, Gian Sagar Medical College and Hospital, Ram Nagar, Banur, Punjab, India.
authors.forename: Jasbir
authors.initials: J
authors.lastname: Kaur
authors.affiliation: Anaesthesiology and Intensive Care, Gian Sagar Medical College and Hospital, Ram Nagar, Banur, Punjab, India.
authors.forename: Kanwalpreet
authors.initials: K
authors.lastname: Singh
authors.affiliation: Anaesthesiology and Intensive Care, Gian Sagar Medical College and Hospital, Ram Nagar, Banur, Punjab, India.
authors.forename: Aparajita
authors.initials: A
authors.lastname: Panda
keywords: Aluminum phosphide; celphos; coconut oil; magnesium sulfate; phosphide poisoning