A Stepwise Approach for the Management of Poisoning with Extracorporeal Treatments

作者:Ghannoum Marc; Roberts Darren M; Hoffman Robert S; Ouellet Georges; Roy Louise; Decker Brian Scott; Bouchard Josee*
来源:Seminars in Dialysis, 2014, 27(4): 362-370.
DOI:10.1111/sdi.12228

摘要

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.

  • 出版日期2014-8