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Year : 2018  |  Volume : 22  |  Issue : 12  |  Page : 862--869

Extracorporeal treatment in the management of acute poisoning: What an intensivist should know?


1 Department of Nephrology, Command Hospital Air Force Bangalore, Bengaluru, Karnataka, India
2 Department of Medicine, INHS Kalyani, Visakhapatnam, Andhra Pradesh, India

Correspondence Address:
Dr. Vijoy Kumar Jha
Physician and Nephrologist, Department of Nephrology, Command Hospital Air Force Bangalore, Bengaluru - 560 007, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijccm.IJCCM_425_18

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Extracorporeal treatment (ECTR) represents a treatment modality promoting removal of endogenous or exogenous poisons and supporting or temporarily replacing a vital organ. This article aims to provide a brief overview of the technical aspects and the potential indications and limitations of the different ECTRs, highlighting the important characteristics of poison amenable to ECTR and the most appropriate prescriptions used in the setting of acute poisoning. The various principles that govern poison elimination by ECTR (diffusion, convection, adsorption, and centrifugation) and how components of the ECTR can be adjusted to maximize clearance have also being discussed.






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