A Stepwise Approach for the Management of Poisoning with Extracorporeal Treatments

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 pre...

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Veröffentlicht in:Seminars in dialysis 2014-07, Vol.27 (4), p.362-370
Hauptverfasser: Ghannoum, Marc, Roberts, Darren M., Hoffman, Robert S., Ouellet, Georges, Roy, Louise, Decker, Brian Scott, Bouchard, Josée
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container_end_page 370
container_issue 4
container_start_page 362
container_title Seminars in dialysis
container_volume 27
creator Ghannoum, Marc
Roberts, Darren M.
Hoffman, Robert S.
Ouellet, Georges
Roy, Louise
Decker, Brian Scott
Bouchard, Josée
description 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.
doi_str_mv 10.1111/sdi.12228
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subjects Animals
Disease Management
Humans
Poisoning - therapy
Renal Dialysis - methods
title A Stepwise Approach for the Management of Poisoning with Extracorporeal Treatments
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