A stepwise approach for the management of poisoning with extracorporeal treatments

Semin Dial. 2014 Jul-Aug;27(4):362-70. doi: 10.1111/sdi.12228. Epub 2014 Apr 3.

Abstract

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.

Publication types

  • Review

MeSH terms

  • Animals
  • Disease Management*
  • Humans
  • Poisoning / therapy*
  • Renal Dialysis / methods*