Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Hackl, G; Schreiber, N.
[Extracorporeal treatment in poisoning].
Med Klin Intensivmed Notfmed. 2024; 119(6):511-520
Doi: 10.1007/s00063-024-01156-6
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- Leading authors Med Uni Graz
- Hackl Gerald
- Schreiber Nikolaus
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- Abstract:
- In rare cases, intoxicated patients may require an extracorporeal procedure for enhanced toxin elimination. The Extracorporeal Treatments in Poisoning (EXTRIP) workgroup provides consensus- and evidence-based recommendations regarding the use of extracorporeal procedures in the management of critically ill, poisoned patients, with ongoing updates. Extracorporeal clearance is highest for low molecular weight substances with low volume of distribution, low plasma protein binding, and high water-solubility. To maximize the effect of extracorporeal clearance, blood and dialysate flow rates should be as high as possible, and the membrane with the largest surface area should be utilized. Intermittent hemodialysis is the most commonly employed extracorporeal procedure due to its highest effectiveness, while hemodynamically compromised patients can benefit from a continuous procedure.
- Find related publications in this database (using NLM MeSH Indexing)
- Humans - administration & dosage
- Poisoning - therapy
- Renal Dialysis - administration & dosage
- Evidence-Based Medicine - administration & dosage
- Continuous Renal Replacement Therapy - administration & dosage
- Extracorporeal Membrane Oxygenation - methods
- Critical Care - methods
- Critical Illness - therapy
- Find related publications in this database (Keywords)
- Renal dialysis
- Plasmapheresis
- Hemofiltration
- Hemoperfusion
- Toxicokinetics
- Renal dialysis
- Plasmapheresis
- Hemofiltration
- Hemoperfusion
- Toxicokinetics