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A Stepwise Approach for the Management of Poisoning with Extracorporeal Treatments
Author(s) -
Ghannoum Marc,
Roberts Darren M.,
Hoffman Robert S.,
Ouellet Georges,
Roy Louise,
Decker Brian Scott,
Bouchard Josée
Publication year - 2014
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1111/sdi.12228
Subject(s) - medicine , extracorporeal , intensive care medicine , medical emergency , surgery
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 ECTR s. 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 ECTR s 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 ECTR s in poisoning.