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 -