A Stepwise Approach for the Management of Poisoning with Extracorporeal Treatments. Issue 4 (3rd April 2014)

• Record Type: Journal Article
• Authors: Ghannoum, Marc; Roberts, Darren M.; Hoffman, Robert S.; Ouellet, Georges; Roy, Louise; Decker, Brian Scott; Bouchard, Josée
• Is Part Of: Seminars in dialysis. Volume 27:Issue 4(2014)
• Page Start: 362
• Page End: 370
• Publication Date: 2014-04-03
• Subjects: Hemodialysis -- Periodicals; Dialysis -- Periodicals; Renal Dialysis -- Periodicals; 617.461059
• DOI: 10.1111/sdi.12228
• Languages: English
• ISSNs: 0894-0959

Abstract

<abstract abstract-type="main" id="sdi12228-abs-0001"> <title>Abstract</title> <p>The use of an extracorporeal treatment (ECTR) in a poisoned patient may be life‐saving in a limited number of scenarios. The decision‐processes surrounding the use of ECTR in poisoning is complex: most nephrologists are not trained to assess a poisoned patient while clinical toxicologists rarely prescribe ECTRs. Deciding on which ECTR is most appropriate for a poison requires a good understanding of the poison's physicochemical and pharmacokinetic properties. Further, a detailed understanding of the capabilities and limitations of the different ECTRs can be useful to select the most appropriate ECTR for a given clinical situation. This manuscript provides a stepwise approach to assess the usefulness of ECTRs in poisoning.</p> </abstract>