Management of Organophosphorus Poisoning: Standard Treatment and Beyond.
Crit Care Clin
; 37(3): 673-686, 2021 Jul.
Article
em En
| MEDLINE
| ID: mdl-34053713
ABSTRACT
Organophosphorus (OP) compounds remain a leading cause of self-poisoning and mortality, especially in South East Asia, China, and Africa. Organophosphorus causes an acute cholinergic syndrome by inhibiting acetylcholinesterase. Atropine remains the mainstay of treatment, but recently some promising therapies are in the pipeline. Oximes are used widely in the management of organophosphorus poisoning, however clinical efficacy remains to be established. Magnesium sulfate, calcium channel blockers (nimodipine), plasma alkalinizing agents, ß-2 agonists, nicotinic receptor antagonists, clonidine, and lipid emulsions are promising treatment alternatives. However, large phase III trials are required to establish their efficacy.
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Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Intoxicação
/
Intoxicação por Organofosfatos
Limite:
Humans
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article