@article{ref1,
title="[Clinical aspects, analysis and follow-up of poisoning with the alkyl phosphate demeton-S-methylsulfoxide (Metasystox R)]",
journal="Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS",
year="1994",
author="Kleinschmidt, S. and Kramer, T. and Ziegenfuss, T.",
volume="29",
number="4",
pages="248-251",
abstract="We report on a 52-year old woman who had taken an unknown dose of the organophosphate insecticide Metasystox R with suicidal intention. Ingestion was followed by cardio-respiratory failure. After successful cardio-pulmonary resuscitation, main therapeutic principles were the immediate application of atropine and decontamination procedures such as gastric lavage, induction of diarrhoea and instillation of carbon. A single combined haemoperfusion and haemodialysis treatment was performed as a secondary elimination technique. After rapid toxicological analysis, obidoxime was administered as a supplementary antidote. After 14 days of treatment, the patient could leave the ICU with a complete restitution. CONCLUSION: Our case report demonstrates the efficiency of immediate application of antidotal therapy (atropine), decontamination and elimination techniques even in case of cardio- respiratory failure after organophosphate poisoning. Toxicological analysis will be beneficial for diagnosis and the indication of further treatment with obidoxime.<p /><p>Language: de</p>",
language="de",
issn="0939-2661",
doi="10.1055/s-2007-996731",
url="http://dx.doi.org/10.1055/s-2007-996731"
}