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VOLUME 22 , ISSUE 12 ( 2018 ) > List of Articles

REVIEW ARTICLE

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

Vijoy Jha, K. V. Padmaprakash

Keywords : End-stage kidney disease, extracorporeal treatment, hemoperfusion, intermittent hemodialysis

Citation Information : Jha V, Padmaprakash KV. Extracorporeal treatment in the management of acute poisoning: What an intensivist should know?. Indian J Crit Care Med 2018; 22 (12):862-869.

DOI: 10.4103/ijccm.IJCCM_425_18

License: CC BY-ND 3.0

Published Online: 00-12-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

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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