[Extracorporeal treatment in poisoning]. / Extrakorporale Verfahren bei Vergiftungen.
Med Klin Intensivmed Notfmed
; 2024 Jul 10.
Article
en De
| MEDLINE
| ID: mdl-38985349
ABSTRACT
In rare cases, intoxicated patients may require an extracorporeal procedure for enhanced toxin elimination. The Extracorporeal Treatments in Poisoning (EXTRIP) workgroup provides consensus- and evidence-based recommendations regarding the use of extracorporeal procedures in the management of critically ill, poisoned patients, with ongoing updates. Extracorporeal clearance is highest for low molecular weight substances with low volume of distribution, low plasma protein binding, and high water-solubility. To maximize the effect of extracorporeal clearance, blood and dialysate flow rates should be as high as possible, and the membrane with the largest surface area should be utilized. Intermittent hemodialysis is the most commonly employed extracorporeal procedure due to its highest effectiveness, while hemodynamically compromised patients can benefit from a continuous procedure.
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01-internacional
Base de datos:
MEDLINE
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De
Revista:
Med Klin Intensivmed Notfmed
Año:
2024
Tipo del documento:
Article