TY - JOUR
PY - 2022//
TI - Hemodialysis treatment for poisoning patients in the emergency department
JO - Therapeutic apheresis and dialysis
A1 - Orhan, Ugur
A1 - Gulen, Muge
A1 - Satar, Salim
A1 - Acehan, Selen
A1 - Nazik, Hakan
A1 - Ünlü, Nurdan
A1 - Gedıklıoglu, Mustafa
A1 - Isıkber, Cem
A1 - Sonmez, Ahmet
A1 - Sonmez, Gökben Oral
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - INTRODUCTION: We aimed to evaluate the hemodialysis (HD) use in adult patients after acute poisoning in the emergency department.
METHODS: The study was performed as a retrospective observational cohort study. We analyzed hospital electronic data system and patient files.
RESULTS: A total of 55 patients were included in the study. Among the ten toxins exposed, the most common were methanol and metformin. The most common indications for HD treatment were: 67.3 % (n=37) for toxin elimination, 20% (n=11) for treatment-resistant metabolic acidosis, hemodynamic disorder. The most common complication (50.9%) in all patients was central nervous system depression. Ten patients died from ingestion of methanol, 1 of aluminum phosphide, and 1 of opioid-sympathomimetic-hallucinogen agents.
CONCLUSION: Hemodialysis is the most commonly used extracorporeal treatment method in the treatment of poisoning patients. Hemodialysis should be considered without any delay in treating poisoned patients if there is no response to conventional treatments. This article is protected by copyright. All rights reserved.
Language: en
LA - en SN - 1744-9979 UR - http://dx.doi.org/10.1111/1744-9987.13960 ID - ref1 ER -