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Acute severe organophosphate poisoning in a child who was successfully treated with therapeutic plasma exchange, high‐volume hemodiafiltration, and lipid infusion
Author(s) -
Yesilbas Osman,
Kihtir Hasan S.,
Altiti Mohammad,
Petmezci Mey Talip,
Balkaya Seda,
Bursal Duramaz Burcu,
Ersoy Melike,
Sevketoglu Esra
Publication year - 2016
Publication title -
journal of clinical apheresis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.697
H-Index - 46
eISSN - 1098-1101
pISSN - 0733-2459
DOI - 10.1002/jca.21417
Subject(s) - organophosphate poisoning , medicine , pralidoxime , organophosphate , atropine , anesthesia , therapeutic plasma exchange , intensive care medicine , supportive psychotherapy , surgery , pesticide , agronomy , biology
Acute severe organophosphate poisoning is a serious complication seen in developing and agricultural countries. Pralidoxime and high dose atropine are the standard treatments. There is no consensus about acute severe organophosphate poisonings that are unresponsive to pralidoxime, atropine, and supportive therapies. We report a case of acute severe organophosphate poisoning that was unresponsive to standard treatments and successfully treated with high‐volume continuous venovenous hemodiafiltration and therapeutic plasma exchange combined with lipid infusion. J. Clin. Apheresis 31:467–469, 2016. © 2015 Wiley Periodicals, Inc.