Hemodialysis treatment for poisoning patients in the emergency department.
emergency
hemodialysis
methanol
poisoning
Journal
Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy
ISSN: 1744-9987
Titre abrégé: Ther Apher Dial
Pays: Australia
ID NLM: 101181252
Informations de publication
Date de publication:
Jun 2023
Jun 2023
Historique:
revised:
30
11
2022
received:
27
09
2022
accepted:
07
12
2022
medline:
28
4
2023
pubmed:
13
12
2022
entrez:
12
12
2022
Statut:
ppublish
Résumé
We aimed to evaluate the hemodialysis (HD) use in adult patients after acute poisoning in the emergency department. The study was performed as a retrospective observational cohort study. We analyzed hospital electronic data system and patient files. A total of 55 patients were included in the study. Among the 10 toxins exposed, the most common were methanol and metformin. The most common indications for HD treatment were: 67.3% (n = 37) for toxin elimination, 20% (n = 11) for treatment-resistant metabolic acidosis, hemodynamic disorder. The most common complication (50.9%) in all patients was central nervous system depression. Ten patients died from ingestion of methanol, one of aluminum phosphide, and one of opioid-sympathomimetic-hallucinogen agents. HD is the most commonly used extracorporeal treatment method in the treatment of poisoning patients. HD should be considered without any delay in treating poisoned patients if there is no response to conventional treatments.
Identifiants
pubmed: 36504481
doi: 10.1111/1744-9987.13960
doi:
Substances chimiques
Methanol
Y4S76JWI15
Types de publication
Observational Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
580-586Informations de copyright
© 2022 International Society for Apheresis and Japanese Society for Apheresis.
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