Use of extracorporeal treatments in the management of poisonings

Ghannoum, Marc; Hoffman, Robert S.; Gosselin, Sophie; Nolin, Thomas D.; Lavergne, Valéry; Roberts, Darren M.

doi:10.1016/j.kint.2018.03.026

Cited by 60 publications

(62 citation statements)

References 56 publications

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“…numerous, and techniques and/or equipment continuously evolve. It mainly involves hemodialysis, hemoperfusion, hemofiltration, and albumin dialysis [57].…”

Section: Techniques For Extrarenal Treatment In Toxicologymentioning

confidence: 99%

“…It has been proposed in serious poisonings with theophylline, carbamazepine, and cardiotoxic (membrane stabilizers, inhibitors calculation, and meprobamate) that do not quickly respond well to symptomatic treatment led. Its indication should be taken into account very early and in intoxications with some toxic lesions such as colchicine or paraquat [57]. Complications of hemoperfusion can be thrombocytopenia (30%), leukopenia (10%), hypocalcemia, hypoglycemia, reduction of fibrinogen, and hypothermia.…”

Section: Hemoperfusionmentioning

confidence: 99%

“…There are several reports regarding the use of these purification techniques in high liver toxicity mushrooms poisoning as Amanita phalloides [60,62,64] and also in paracetamol poisoning [56,60]. These techniques were also used to treat phenytoin, theophylline, and diltiazem poisoning, and for calcium channel blockers poisoning too [57,67].…”

Section: The Prometheus Systemmentioning

confidence: 99%

See 2 more Smart Citations

Poisoning in the Pediatric Intensive Care Unit

Nistor¹,

Frăsinariu²,

Rugină³

et al. 2019

Poisoning in the Modern World - New Tricks for an Old Dog?

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Poisonings during childhood (both accidental and voluntary) are a common cause of presentation in the emergency departments (EDs) and the pediatric intensive care unit (PICU). The admission to PICU is warranted both for treatment and for continuous monitoring, as sometimes the evolution of a poisoning could be unpredictable. Sometimes, complications arise that may prolong the patients' hospitalization and may contribute to lowering the survival rate. The staff in these departments must be well trained to ensure patient monitoring, early detection of complications, and rapid intervention. Supporting vital functions is the main objective of the management of a poisoned patient admitted in PICU. In recent years, staff competence and advanced medical technology have helped to improve the prognosis of the patients admitted to these departments, including of the poisoned patients.

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“…numerous, and techniques and/or equipment continuously evolve. It mainly involves hemodialysis, hemoperfusion, hemofiltration, and albumin dialysis [57].…”

Section: Techniques For Extrarenal Treatment In Toxicologymentioning

confidence: 99%

Section: Hemoperfusionmentioning

confidence: 99%

Section: The Prometheus Systemmentioning

confidence: 99%

See 1 more Smart Citation

Poisoning in the Pediatric Intensive Care Unit

Nistor¹,

Frăsinariu²,

Rugină³

et al. 2019

Poisoning in the Modern World - New Tricks for an Old Dog?

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“…While lithium toxicity seems ideally suited for extracorporeal toxin removal (ECTR), given its low atomic weight, small volume of distribution, negligible protein binding, and exclusive reliance on renal elimination, translating drug removal into actual clinical outcomes in poisoned patients is challenging. This is especially true given lithium's complex pharmacology.…”

mentioning

confidence: 99%

“…However, recognizing the limitations of conventional therapies and the potential benefit of haemodialysis, in 1969, two lithium-poisoned patients were dialysed in an attempt to alleviate their toxicity; one lived 4 and the other died. 5 While lithium toxicity seems ideally suited for extracorporeal toxin removal (ECTR), given its low atomic weight, small volume of distribution, negligible protein binding, and exclusive reliance on renal elimination, 6 translating drug removal into actual clinical outcomes in poisoned patients is challenging. This is especially true given lithium's complex pharmacology.…”

mentioning

confidence: 99%

Evidence‐based recommendations for haemodialysis in lithium‐poisoned patients: Getting from where we are to where we want to be

Hoffman

2020

Brit J Clinical Pharma

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Guidelines on the Use of Therapeutic Apheresis in Clinical Practice – Evidence‐Based Approach from the Writing Committee of the American Society for Apheresis: The Ninth Special Issue

Connelly‐Smith

Alquist

Aqui

et al. 2023

J of Clinical Apheresis

223

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The American Society for Apheresis (ASFA) Journal of Clinical Apheresis (JCA) Special Issue Writing Committee is charged with reviewing, updating, and categorizing indications for the evidence-based use of therapeutic apheresis (TA) in human disease. In the Ninth Edition, the JCA Special Issue Writing Committee has incorporated systematic review and evidence-based approaches in the grading of evidence and categorization of apheresis indications to make recommendations on the use of apheresis in a wide variety of diseases and conditions. This edition has largely maintained the general layout and concept of a fact sheet introduced in the Fourth Edition (2007). Each fact sheet succinctly summarizes the evidence for the use of TA in a specific disease or medical condition. The Ninth Edition of the JCA Special Issue comprises 91 fact sheets and

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Use of extracorporeal treatments in the management of poisonings

Cited by 60 publications

References 56 publications

Poisoning in the Pediatric Intensive Care Unit

Poisoning in the Pediatric Intensive Care Unit

Evidence‐based recommendations for haemodialysis in lithium‐poisoned patients: Getting from where we are to where we want to be

Guidelines on the Use of Therapeutic Apheresis in Clinical Practice – Evidence‐Based Approach from the Writing Committee of the American Society for Apheresis: The Ninth Special Issue

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