A stepwise approach for the management of poisoning with extracorporeal treatments

Marc Ghannoum, Darren M. Roberts, Robert S. Hoffman, Georges Ouellet, Louise Roy, Brian Scott Decker, Josée Bouchard

Research output: Contribution to journalArticle

23 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)362-370
Number of pages9
JournalSeminars in Dialysis
Volume27
Issue number4
DOIs
StatePublished - Jan 1 2014

ASJC Scopus subject areas

  • Nephrology

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    Ghannoum, M., Roberts, D. M., Hoffman, R. S., Ouellet, G., Roy, L., Decker, B. S., & Bouchard, J. (2014). A stepwise approach for the management of poisoning with extracorporeal treatments. Seminars in Dialysis, 27(4), 362-370. https://doi.org/10.1111/sdi.12228