Potential role of paraffin oil gastric lavage in acute aluminum phosphide poisoning: a randomized controlled trial
Aluminum phosphide (ALP) poisoning is a true medical emergency associated with high mortality. The lack of a specific antidote for ALP poisoning mandates searching for new treatment modalities. This study aimed to evaluate the effectiveness and safety of gastric decontamination by paraffin oil in ca...
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| Veröffentlicht in: | Environmental science and pollution research international 2022-05, Vol.29 (22), p.33844-33855 |
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| creator | Helal, Nadia E. Lashin, Heba I. Nagy, Ayman A. Shama, Mohamed A. Mostafa, Tarek Abdel Hay Wahdan, Amira A. |
| description | Aluminum phosphide (ALP) poisoning is a true medical emergency associated with high mortality. The lack of a specific antidote for ALP poisoning mandates searching for new treatment modalities. This study aimed to evaluate the effectiveness and safety of gastric decontamination by paraffin oil in cases with acute ALP poisoning. This study was a randomized, controlled, parallel-group, single-blind, phase II clinical trial conducted over a period of 6 months. Sixty-two patients with acute ALP poisoning were randomly allocated into two equivalent groups. In both groups, the standard ALP treatment was given. Gastric decontamination in the control group was performed by saline and sodium bicarbonate 8.4%, while in the intervention group, it was done by paraffin oil and sodium bicarbonate 8.4%. All patients were subjected to history taking, clinical examination, and laboratory investigations. The outcomes were evaluated. The median age of the studied patients was 20 years. Most of the studied cases were females, single, and from rural areas. The median delay time was 1 h. All patients included in the study alleged ingestion of ALP during suicidal attempts. Twelve hours after admission, many clinical and laboratory findings were significantly better in the intervention group. The need for intubation, mechanical ventilation, and total amount of vasopressors was significantly lower, and the mortality rate was non-significantly lower in the intervention group compared to the control. The median length of hospital stay was significantly shorter in the control group. Gastric decontamination with paraffin oil and sodium bicarbonate 8.4% could be valuable in reducing ALP poisoning severity, the need for intubation, mechanical ventilation, and vasopressors. |
| doi_str_mv | 10.1007/s11356-021-17778-8 |
| format | Article |
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The lack of a specific antidote for ALP poisoning mandates searching for new treatment modalities. This study aimed to evaluate the effectiveness and safety of gastric decontamination by paraffin oil in cases with acute ALP poisoning. This study was a randomized, controlled, parallel-group, single-blind, phase II clinical trial conducted over a period of 6 months. Sixty-two patients with acute ALP poisoning were randomly allocated into two equivalent groups. In both groups, the standard ALP treatment was given. Gastric decontamination in the control group was performed by saline and sodium bicarbonate 8.4%, while in the intervention group, it was done by paraffin oil and sodium bicarbonate 8.4%. All patients were subjected to history taking, clinical examination, and laboratory investigations. The outcomes were evaluated. The median age of the studied patients was 20 years. Most of the studied cases were females, single, and from rural areas. The median delay time was 1 h. All patients included in the study alleged ingestion of ALP during suicidal attempts. Twelve hours after admission, many clinical and laboratory findings were significantly better in the intervention group. The need for intubation, mechanical ventilation, and total amount of vasopressors was significantly lower, and the mortality rate was non-significantly lower in the intervention group compared to the control. The median length of hospital stay was significantly shorter in the control group. Gastric decontamination with paraffin oil and sodium bicarbonate 8.4% could be valuable in reducing ALP poisoning severity, the need for intubation, mechanical ventilation, and vasopressors.</description><identifier>ISSN: 0944-1344</identifier><identifier>EISSN: 1614-7499</identifier><identifier>DOI: 10.1007/s11356-021-17778-8</identifier><identifier>PMID: 35031985</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aluminum ; Aluminum Compounds ; Aquatic Pollution ; Atmospheric Protection/Air Quality Control/Air Pollution ; Decontamination ; Delay time ; Earth and Environmental Science ; Ecotoxicology ; Emergency medical services ; Environment ; Environmental Chemistry ; Environmental Health ; Environmental science ; Evaluation ; Female ; Gastric Lavage ; Health services ; Humans ; Ingestion ; Intubation ; Laboratories ; Lavage ; Male ; Mechanical ventilation ; Mortality ; Oil ; Oils ; Paraffin ; Paraffins ; Patients ; Pesticides ; Phosphides ; Phosphines ; Poisoning ; Poisoning - diagnosis ; Research Article ; Rural areas ; Single-Blind Method ; Sodium ; Sodium Bicarbonate ; Ventilation ; Waste Water Technology ; Water Management ; Water Pollution Control ; Young Adult</subject><ispartof>Environmental science and pollution research international, 2022-05, Vol.29 (22), p.33844-33855</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-7f4149580270cb5640a1f22f5784b12dd7b1d134f982b2a3fc3b2a18036d7b743</citedby><cites>FETCH-LOGICAL-c375t-7f4149580270cb5640a1f22f5784b12dd7b1d134f982b2a3fc3b2a18036d7b743</cites><orcidid>0000-0002-7607-3252</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11356-021-17778-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11356-021-17778-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35031985$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Helal, Nadia E.</creatorcontrib><creatorcontrib>Lashin, Heba I.</creatorcontrib><creatorcontrib>Nagy, Ayman A.</creatorcontrib><creatorcontrib>Shama, Mohamed A.</creatorcontrib><creatorcontrib>Mostafa, Tarek Abdel Hay</creatorcontrib><creatorcontrib>Wahdan, Amira A.</creatorcontrib><title>Potential role of paraffin oil gastric lavage in acute aluminum phosphide poisoning: a randomized controlled trial</title><title>Environmental science and pollution research international</title><addtitle>Environ Sci Pollut Res</addtitle><addtitle>Environ Sci Pollut Res Int</addtitle><description>Aluminum phosphide (ALP) poisoning is a true medical emergency associated with high mortality. The lack of a specific antidote for ALP poisoning mandates searching for new treatment modalities. This study aimed to evaluate the effectiveness and safety of gastric decontamination by paraffin oil in cases with acute ALP poisoning. This study was a randomized, controlled, parallel-group, single-blind, phase II clinical trial conducted over a period of 6 months. Sixty-two patients with acute ALP poisoning were randomly allocated into two equivalent groups. In both groups, the standard ALP treatment was given. Gastric decontamination in the control group was performed by saline and sodium bicarbonate 8.4%, while in the intervention group, it was done by paraffin oil and sodium bicarbonate 8.4%. All patients were subjected to history taking, clinical examination, and laboratory investigations. The outcomes were evaluated. The median age of the studied patients was 20 years. Most of the studied cases were females, single, and from rural areas. The median delay time was 1 h. All patients included in the study alleged ingestion of ALP during suicidal attempts. Twelve hours after admission, many clinical and laboratory findings were significantly better in the intervention group. The need for intubation, mechanical ventilation, and total amount of vasopressors was significantly lower, and the mortality rate was non-significantly lower in the intervention group compared to the control. The median length of hospital stay was significantly shorter in the control group. Gastric decontamination with paraffin oil and sodium bicarbonate 8.4% could be valuable in reducing ALP poisoning severity, the need for intubation, mechanical ventilation, and vasopressors.</description><subject>Adult</subject><subject>Aluminum</subject><subject>Aluminum Compounds</subject><subject>Aquatic Pollution</subject><subject>Atmospheric Protection/Air Quality Control/Air Pollution</subject><subject>Decontamination</subject><subject>Delay time</subject><subject>Earth and Environmental Science</subject><subject>Ecotoxicology</subject><subject>Emergency medical services</subject><subject>Environment</subject><subject>Environmental Chemistry</subject><subject>Environmental Health</subject><subject>Environmental science</subject><subject>Evaluation</subject><subject>Female</subject><subject>Gastric Lavage</subject><subject>Health services</subject><subject>Humans</subject><subject>Ingestion</subject><subject>Intubation</subject><subject>Laboratories</subject><subject>Lavage</subject><subject>Male</subject><subject>Mechanical ventilation</subject><subject>Mortality</subject><subject>Oil</subject><subject>Oils</subject><subject>Paraffin</subject><subject>Paraffins</subject><subject>Patients</subject><subject>Pesticides</subject><subject>Phosphides</subject><subject>Phosphines</subject><subject>Poisoning</subject><subject>Poisoning - diagnosis</subject><subject>Research Article</subject><subject>Rural areas</subject><subject>Single-Blind Method</subject><subject>Sodium</subject><subject>Sodium Bicarbonate</subject><subject>Ventilation</subject><subject>Waste Water Technology</subject><subject>Water Management</subject><subject>Water Pollution Control</subject><subject>Young Adult</subject><issn>0944-1344</issn><issn>1614-7499</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kU-L1jAQh4Mo7rurX8CDBLx4qc7kT5N6k0VdYUEPeg5pm7ybJU1q0gr66Y2-q4IHTxMyzzyT8CPkCcILBFAvKyKXfQcMO1RK6U7fIwfsUXRKDMN9coBBiA65EGfkvNZbAAYDUw_JGZfAcdDyQMrHvLm0BRtpydHR7Olqi_U-JJpDpEdbtxImGu1Xe3S03dpp3xy1cV9C2he63uS63oTZ0TWHmlNIx1fU0mLTnJfw3c10ymlr7tiOTWXjI_LA21jd47t6QT6_ffPp8qq7_vDu_eXr627iSm6d8gLFIDUwBdMoewEWPWNeKi1GZPOsRpzb5_yg2cgs9xNvBTXwvrWU4Bfk-cm7lvxld3UzS6iTi9Eml_dqWM8AtBY9NPTZP-ht3ktqr2uUbAvkwLFR7ERNJddanDdrCYst3wyC-ZmIOSViWiLmVyJGt6Gnd-p9XNz8Z-R3BA3gJ6C2Vjq68nf3f7Q_AMq5lrM</recordid><startdate>20220501</startdate><enddate>20220501</enddate><creator>Helal, Nadia E.</creator><creator>Lashin, Heba I.</creator><creator>Nagy, Ayman A.</creator><creator>Shama, Mohamed A.</creator><creator>Mostafa, Tarek Abdel Hay</creator><creator>Wahdan, Amira A.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7SN</scope><scope>7T7</scope><scope>7TV</scope><scope>7U7</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88E</scope><scope>88I</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>L.-</scope><scope>M0C</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7N</scope><scope>P64</scope><scope>PATMY</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7607-3252</orcidid></search><sort><creationdate>20220501</creationdate><title>Potential role of paraffin oil gastric lavage in acute aluminum phosphide poisoning: a randomized controlled trial</title><author>Helal, Nadia E. ; Lashin, Heba I. ; Nagy, Ayman A. ; Shama, Mohamed A. ; Mostafa, Tarek Abdel Hay ; Wahdan, Amira A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-7f4149580270cb5640a1f22f5784b12dd7b1d134f982b2a3fc3b2a18036d7b743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adult</topic><topic>Aluminum</topic><topic>Aluminum Compounds</topic><topic>Aquatic Pollution</topic><topic>Atmospheric Protection/Air Quality Control/Air Pollution</topic><topic>Decontamination</topic><topic>Delay time</topic><topic>Earth and Environmental Science</topic><topic>Ecotoxicology</topic><topic>Emergency medical services</topic><topic>Environment</topic><topic>Environmental Chemistry</topic><topic>Environmental Health</topic><topic>Environmental science</topic><topic>Evaluation</topic><topic>Female</topic><topic>Gastric Lavage</topic><topic>Health services</topic><topic>Humans</topic><topic>Ingestion</topic><topic>Intubation</topic><topic>Laboratories</topic><topic>Lavage</topic><topic>Male</topic><topic>Mechanical ventilation</topic><topic>Mortality</topic><topic>Oil</topic><topic>Oils</topic><topic>Paraffin</topic><topic>Paraffins</topic><topic>Patients</topic><topic>Pesticides</topic><topic>Phosphides</topic><topic>Phosphines</topic><topic>Poisoning</topic><topic>Poisoning - 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Academic</collection><jtitle>Environmental science and pollution research international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Helal, Nadia E.</au><au>Lashin, Heba I.</au><au>Nagy, Ayman A.</au><au>Shama, Mohamed A.</au><au>Mostafa, Tarek Abdel Hay</au><au>Wahdan, Amira A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Potential role of paraffin oil gastric lavage in acute aluminum phosphide poisoning: a randomized controlled trial</atitle><jtitle>Environmental science and pollution research international</jtitle><stitle>Environ Sci Pollut Res</stitle><addtitle>Environ Sci Pollut Res Int</addtitle><date>2022-05-01</date><risdate>2022</risdate><volume>29</volume><issue>22</issue><spage>33844</spage><epage>33855</epage><pages>33844-33855</pages><issn>0944-1344</issn><eissn>1614-7499</eissn><abstract>Aluminum phosphide (ALP) poisoning is a true medical emergency associated with high mortality. The lack of a specific antidote for ALP poisoning mandates searching for new treatment modalities. This study aimed to evaluate the effectiveness and safety of gastric decontamination by paraffin oil in cases with acute ALP poisoning. This study was a randomized, controlled, parallel-group, single-blind, phase II clinical trial conducted over a period of 6 months. Sixty-two patients with acute ALP poisoning were randomly allocated into two equivalent groups. In both groups, the standard ALP treatment was given. Gastric decontamination in the control group was performed by saline and sodium bicarbonate 8.4%, while in the intervention group, it was done by paraffin oil and sodium bicarbonate 8.4%. All patients were subjected to history taking, clinical examination, and laboratory investigations. The outcomes were evaluated. The median age of the studied patients was 20 years. Most of the studied cases were females, single, and from rural areas. The median delay time was 1 h. All patients included in the study alleged ingestion of ALP during suicidal attempts. Twelve hours after admission, many clinical and laboratory findings were significantly better in the intervention group. The need for intubation, mechanical ventilation, and total amount of vasopressors was significantly lower, and the mortality rate was non-significantly lower in the intervention group compared to the control. The median length of hospital stay was significantly shorter in the control group. Gastric decontamination with paraffin oil and sodium bicarbonate 8.4% could be valuable in reducing ALP poisoning severity, the need for intubation, mechanical ventilation, and vasopressors.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>35031985</pmid><doi>10.1007/s11356-021-17778-8</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-7607-3252</orcidid></addata></record> |
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| issn | 0944-1344 1614-7499 |
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| subjects | Adult Aluminum Aluminum Compounds Aquatic Pollution Atmospheric Protection/Air Quality Control/Air Pollution Decontamination Delay time Earth and Environmental Science Ecotoxicology Emergency medical services Environment Environmental Chemistry Environmental Health Environmental science Evaluation Female Gastric Lavage Health services Humans Ingestion Intubation Laboratories Lavage Male Mechanical ventilation Mortality Oil Oils Paraffin Paraffins Patients Pesticides Phosphides Phosphines Poisoning Poisoning - diagnosis Research Article Rural areas Single-Blind Method Sodium Sodium Bicarbonate Ventilation Waste Water Technology Water Management Water Pollution Control Young Adult |
| title | Potential role of paraffin oil gastric lavage in acute aluminum phosphide poisoning: a randomized controlled trial |
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