Blood Purification in Poisoning
A Stepwise Approach for the Management of Poisoning with Extracorporeal Treatments
Article first published online: 3 APR 2014
© 2014 Wiley Periodicals, Inc.
Seminars in Dialysis
Volume 27, Issue 4, pages 362–370, July–August 2014
How to Cite
Ghannoum, M., Roberts, D. M., Hoffman, R. S., Ouellet, G., Roy, L., Decker, B. S. and Bouchard, J. (2014), A Stepwise Approach for the Management of Poisoning with Extracorporeal Treatments. Seminars in Dialysis, 27: 362–370. doi: 10.1111/sdi.12228
- Issue published online: 10 JUL 2014
- Article first published online: 3 APR 2014
The use of an extracorporeal treatment (ECTR) in a poisoned patient may be life-saving in a limited number of scenarios. The decision-processes surrounding the use of ECTR in poisoning is complex: most nephrologists are not trained to assess a poisoned patient while clinical toxicologists rarely prescribe ECTRs. Deciding on which ECTR is most appropriate for a poison requires a good understanding of the poison's physicochemical and pharmacokinetic properties. Further, a detailed understanding of the capabilities and limitations of the different ECTRs can be useful to select the most appropriate ECTR for a given clinical situation. This manuscript provides a stepwise approach to assess the usefulness of ECTRs in poisoning.