title: Single-pass albumin dialysis in a child aged six months with phenobarbital poisoning.
abstract: A girl aged six months was hospitalized because of resistant seizures and was discharged with phenobarbital and carbamazepine therapy. She was admitted to a state hospital with symptoms of inability to waken and difficulty in breathing. It was learned that phenobarbital had been used incorrectly and the patient was sent to our pediatric intensive care unit because of severe phenobarbital overdose. The decision was taken for hemodialysis. Single-pass albumin dialysis was planned because phenobarbital can bind to high levels of plasma protein. The process was undertaken with 1% albumin-containing dialysate, which was prepared manually. After 6 hours of dialysis, the phenobarbital blood level measured 62 mcg/mL (>140 mcg/mL on admission) and the patient's clinical findings were markedly regressed. There are no case reports about phenobarbital overdose treated with single-pass albumin dialysis in the literature. We conclude that single-pass albumin dialysis may be a useful treatment, especially with intoxications of drugs that bind protein at high levels.
authors.affiliation: Clinic of Pediatrics, Division of Pediatric Intensive Care, Bakırköy Sadi Konuk Training and Research Hospital, İstanbul, Turkey.
authors.forename: Hasan Serdar
authors.initials: HS
authors.lastname: Kıhtır
authors.affiliation: Clinic of Pediatrics, Division of Pediatric Intensive Care, Bakırköy Sadi Konuk Training and Research Hospital, İstanbul, Turkey.
authors.forename: Hamdi Murat
authors.initials: HM
authors.lastname: Yıldırım
authors.affiliation: Clinic of Pediatrics, Division of Pediatric Intensive Care, Bakırköy Sadi Konuk Training and Research Hospital, İstanbul, Turkey.
authors.forename: Osman
authors.initials: O
authors.lastname: Yeşilbaş
authors.affiliation: Clinic of Pediatrics, Bakırköy Sadi Konuk Training and Research Hospital, İstanbul, Turkey.
authors.forename: Burcu Bursal
authors.initials: BB
authors.lastname: Duramaz
authors.affiliation: Clinic of Pediatrics, Division of Pediatric Intensive Care, Bakırköy Sadi Konuk Training and Research Hospital, İstanbul, Turkey.
authors.forename: Esra
authors.initials: E
authors.lastname: Şevketoğlu
keywords: Continuous venovenous hemodialysis; phenobarbital intoxication; single-pass albumin dialysis