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[Gastric lavage, hemodialysis and specific antidotes in acutely poisoned patients treated at the Specialist Hospital in Biała Podlaska (1993, 2001 and 2002)].
Przegl Lek. 2004; 61(4):256-60.PL

Abstract

Gut decontamination, the methods of extracorporeal elimination of poisons and antidote use are the specific measures in clinical toxicology. Statistically they are not often used in intoxicated patients. It is not known, in how many cases of poisoning treated outside toxicological units are they applied. Approximately 110 poisoned patients were hospitalised each year in the Specialist Hospital in Biała Podlaska in years 1993, 2001 and 2002. Gastric lavage was performed in about 50 percent of those cases, especially often in children up till third year of life and in the cases of poisoning with medical drugs. The Gut Decontamination Position Statement of AACT and EAPCCT, published in 1997, had no significant impact on use of decontamination procedures in our hospital. Haemodialyses were performed in 3-5% of poisoned patients. All those patients were poisoned with ethylene glycol or methanol. Only 4 specific antidotes were used in years 1993, 2001 and 2002. The most commonly used antidote was ethanol, despite its level is not measured in our laboratory. Recommendations for gut decontamination should be widely popularised. The use of activated charcoal may be in many cases more suitable as a gastric lavage. Safe and effective use of ethanol as an antidote in a hospital requires its measuring in own laboratory.

Authors+Show Affiliations

Oddział Chorób Wewnetrznych, Wojewódzkiego Szpitala Specjalistycznego w Białej Podlaskiej. pchwaluk@poczta.fmNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

pol

PubMed ID

15521578

Citation

Chwaluk, Paweł, et al. "[Gastric Lavage, Hemodialysis and Specific Antidotes in Acutely Poisoned Patients Treated at the Specialist Hospital in Biała Podlaska (1993, 2001 and 2002)]." Przeglad Lekarski, vol. 61, no. 4, 2004, pp. 256-60.
Chwaluk P, Mikusek I, Nosalska D. [Gastric lavage, hemodialysis and specific antidotes in acutely poisoned patients treated at the Specialist Hospital in Biała Podlaska (1993, 2001 and 2002)]. Przegl Lek. 2004;61(4):256-60.
Chwaluk, P., Mikusek, I., & Nosalska, D. (2004). [Gastric lavage, hemodialysis and specific antidotes in acutely poisoned patients treated at the Specialist Hospital in Biała Podlaska (1993, 2001 and 2002)]. Przeglad Lekarski, 61(4), 256-60.
Chwaluk P, Mikusek I, Nosalska D. [Gastric Lavage, Hemodialysis and Specific Antidotes in Acutely Poisoned Patients Treated at the Specialist Hospital in Biała Podlaska (1993, 2001 and 2002)]. Przegl Lek. 2004;61(4):256-60. PubMed PMID: 15521578.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Gastric lavage, hemodialysis and specific antidotes in acutely poisoned patients treated at the Specialist Hospital in Biała Podlaska (1993, 2001 and 2002)]. AU - Chwaluk,Paweł, AU - Mikusek,Ireneusz, AU - Nosalska,Dorota, PY - 2004/11/4/pubmed PY - 2005/2/12/medline PY - 2004/11/4/entrez SP - 256 EP - 60 JF - Przeglad lekarski JO - Przegl Lek VL - 61 IS - 4 N2 - Gut decontamination, the methods of extracorporeal elimination of poisons and antidote use are the specific measures in clinical toxicology. Statistically they are not often used in intoxicated patients. It is not known, in how many cases of poisoning treated outside toxicological units are they applied. Approximately 110 poisoned patients were hospitalised each year in the Specialist Hospital in Biała Podlaska in years 1993, 2001 and 2002. Gastric lavage was performed in about 50 percent of those cases, especially often in children up till third year of life and in the cases of poisoning with medical drugs. The Gut Decontamination Position Statement of AACT and EAPCCT, published in 1997, had no significant impact on use of decontamination procedures in our hospital. Haemodialyses were performed in 3-5% of poisoned patients. All those patients were poisoned with ethylene glycol or methanol. Only 4 specific antidotes were used in years 1993, 2001 and 2002. The most commonly used antidote was ethanol, despite its level is not measured in our laboratory. Recommendations for gut decontamination should be widely popularised. The use of activated charcoal may be in many cases more suitable as a gastric lavage. Safe and effective use of ethanol as an antidote in a hospital requires its measuring in own laboratory. SN - 0033-2240 UR - https://wwww.unboundmedicine.com/medline/citation/15521578/[Gastric_lavage_hemodialysis_and_specific_antidotes_in_acutely_poisoned_patients_treated_at_the_Specialist_Hospital_in_Biała_Podlaska__1993_2001_and_2002_]_ DB - PRIME DP - Unbound Medicine ER -