TY  - JOUR
PY  - 2021//
TI  - Unexpected survival after deliberate phosphine gas poisoning: an Australian experience of extracorporeal membrane oxygenation rescue in this setting
JO  - Anaesthesia and intensive care
A1  - Farrar, Ross A.
A1  - B Justus, Angelo
A1  - Masurkar, Vikram A.
A1  - Garrett, Peter M.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - Phosphine poisoning is responsible for hundreds of thousands of deaths per year in countries where access to this pesticide is unrestricted. Metal phosphides release phosphine gas on contact with moisture, and ingestion of these tablets most often results in death despite intensive support. A 36-year-old woman presented to a regional hospital after ingesting multiple aluminium phosphide pesticide tablets and rapidly developed severe cardiogenic shock. In this case, serendipitous access to an untested Extracorporeal Membrane Oxygenation (ECMO) service of a regional hospital effected a successful rescue and prevented the predicted death. We discuss the toxicology, management and the evidence for and against using ECMO in this acute poisoning.<p />  <p>Language: en</p>
LA  - en
SN  - 0310-057X
UR  - http://dx.doi.org/10.1177/0310057X211047603
ID  - ref1
ER  -