Liver Transplantation Society of India Guidelines for the Management of Acute Liver Injury Secondary to Yellow Phosphorus-Containing Rodenticide Poisoning Using the Modified Delphi Technique of Consensus Development.
ALF, acute liver failure
ALI, acute liver injury
DDLT, deceased donor liver transplantation
ICU, intensive care unit
INR, international normalised ratio
KCC, Kings College Criteria
LDLT, living donor liver transplantation
LT, liver transplantation
LTSI, Liver Transplantation Society of India
MELD, model for end-stage liver disease
RRT, renal replacement therapy
TPE, therapeutic plasma exchange
YP, yellow phosphorus
acute liver failure
consensus guidelines
liver transplantation
rat killer poison
yellow phosphorus
Journal
Journal of clinical and experimental hepatology
ISSN: 0973-6883
Titre abrégé: J Clin Exp Hepatol
Pays: India
ID NLM: 101574137
Informations de publication
Date de publication:
Historique:
received:
10
06
2020
accepted:
28
09
2020
entrez:
19
7
2021
pubmed:
20
7
2021
medline:
20
7
2021
Statut:
ppublish
Résumé
Acute liver failure caused by the ingestion of yellow phosphorus-containing rodenticide has been increasing in incidence over the last decade and is a common indication for emergency liver transplantation in Southern and Western India and other countries. Clear guidelines for its management are necessary, given its unpredictable course, potential for rapid deterioration and variation in clinical practice. A modified Delphi approach was used for developing consensus guidelines under the aegis of the Liver Transplantation Society of India. A detailed review of the published literature was performed. Recommendations for three areas of clinical practice, assessment and initial management, intensive care unit (ICU) management and liver transplantation, were developed. The expert panel consisted of 16 clinicians, 3 nonclinical specialists and 5 senior advisory members from 11 centres. Thirty-one recommendations with regard to criteria for hospital admission and discharge, role of medical therapies, ICU management, evidence for extracorporeal therapies such as renal replacement therapy and therapeutic plasma exchange, early predictors of need for liver transplantation and perioperative care were developed based on published evidence and combined clinical experience. Development of these guidelines should help standardise care for patients with yellow phosphorus poisoning and identify areas for collaborative research.
Sections du résumé
BACKGROUND
BACKGROUND
Acute liver failure caused by the ingestion of yellow phosphorus-containing rodenticide has been increasing in incidence over the last decade and is a common indication for emergency liver transplantation in Southern and Western India and other countries. Clear guidelines for its management are necessary, given its unpredictable course, potential for rapid deterioration and variation in clinical practice.
METHODS
METHODS
A modified Delphi approach was used for developing consensus guidelines under the aegis of the Liver Transplantation Society of India. A detailed review of the published literature was performed. Recommendations for three areas of clinical practice, assessment and initial management, intensive care unit (ICU) management and liver transplantation, were developed.
RESULTS
RESULTS
The expert panel consisted of 16 clinicians, 3 nonclinical specialists and 5 senior advisory members from 11 centres. Thirty-one recommendations with regard to criteria for hospital admission and discharge, role of medical therapies, ICU management, evidence for extracorporeal therapies such as renal replacement therapy and therapeutic plasma exchange, early predictors of need for liver transplantation and perioperative care were developed based on published evidence and combined clinical experience.
CONCLUSION
CONCLUSIONS
Development of these guidelines should help standardise care for patients with yellow phosphorus poisoning and identify areas for collaborative research.
Identifiants
pubmed: 34276154
doi: 10.1016/j.jceh.2020.09.011
pii: S0973-6883(20)30150-X
pmc: PMC8267358
doi:
Types de publication
Journal Article
Langues
eng
Pagination
475-483Informations de copyright
© 2020 Indian National Association for Study of the Liver. Published by Elsevier B.V. All rights reserved.
Références
Hepatology. 2018 Feb;67(2):711-720
pubmed: 28859230
Clin Toxicol (Phila). 2011 Jan;49(1):29-33
pubmed: 21288149
Indian J Gastroenterol. 2019 Oct;38(5):411-440
pubmed: 31802441
BMJ. 2008 Apr 26;336(7650):924-6
pubmed: 18436948
Indian J Gastroenterol. 2019 Dec;38(6):527-533
pubmed: 32077040
Gastroenterology. 1989 Aug;97(2):439-45
pubmed: 2490426
BMC Med Res Methodol. 2016 May 20;16:56
pubmed: 27206853
J Clin Apher. 2019 Oct;34(5):589-597
pubmed: 31348553
Emerg Med J. 2004 Mar;21(2):259-60
pubmed: 14988373
Ann Hepatol. 2009 Apr-Jun;8(2):162-5
pubmed: 19502664
Trop Doct. 2017 Jul;47(3):245-249
pubmed: 27663491
United European Gastroenterol J. 2020 Feb;8(1):99-107
pubmed: 32213061
Liver Transpl. 2011 Nov;17(11):1286-91
pubmed: 21761550
BMJ. 2013 Feb 07;346:f403
pubmed: 23393081
Ther Clin Risk Manag. 2017 Mar 14;13:335-340
pubmed: 28352183
J Clin Gastroenterol. 1995 Sep;21(2):139-42
pubmed: 8583080
J Assoc Physicians India. 2004 Mar;52:249-50
pubmed: 15636320
J Clin Diagn Res. 2015 Jan;9(1):OC10-3
pubmed: 25738016
Curr Clin Pharmacol. 2020 May 12;:
pubmed: 32400335
Indian J Crit Care Med. 2020 May;24(5):295-298
pubmed: 32728318
J Hepatol. 2016 Jan;64(1):69-78
pubmed: 26325537
N Engl J Med. 1971 Jan 21;284(3):125-8
pubmed: 5538680
Arch Intern Med (Chic). 1949 Feb;83(2):164-78
pubmed: 18112389
J Adv Nurs. 2000 Oct;32(4):1008-15
pubmed: 11095242
J Forensic Sci. 2015 May;60(3):648-52
pubmed: 25661474
Indian J Gastroenterol. 2015 Jul;34(4):325-9
pubmed: 26310868
Pediatr Emerg Care. 2019 Mar;35(3):216-219
pubmed: 29538264
Colorectal Dis. 2020 Sep;22(9):1184-1188
pubmed: 32043753
Liver Transpl. 2016 Jul;22(7):1019-24
pubmed: 27082718