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Continuous renal replacement therapy increased plasma cholinesterase activity in a case of acute organophosphate poisoning
- Source :
- Acute and Critical Care, Vol 37, Iss 4, Pp 669-671 (2022)
- Publication Year :
- 2022
- Publisher :
- Korean Society of Critical Care Medicine, 2022.
-
Abstract
- Extracorporeal removal of organophosphate from blood has been proposed, but the efficacy of hemodialysis and hemoperfusion has not been established. We report a case of organophosphate poisoning in which continuous renal replacement therapy (CRRT) was applied with conventional indications and was found to increase plasma cholinesterase levels by hemodiafiltration. A 73-year-old male was found unconscious at home and was brought to the emergency department by ambulance. An empty bottle of Supracide insecticide, of which the active ingredient is methidathion, was found beside him. CRRT was initiated because he showed signs of oliguria and acidosis with an unstable hemodynamic condition. Although his condition improved temporarily after CRRT initiation, it subsequently deteriorated, and he died despite maximal supportive effort. His prefilter plasma cholinesterase levels remained at
Details
- Language :
- English
- ISSN :
- 25866052 and 25866060
- Volume :
- 37
- Issue :
- 4
- Database :
- Directory of Open Access Journals
- Journal :
- Acute and Critical Care
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.4702cecacd543a98fdaa30a55009a43
- Document Type :
- article
- Full Text :
- https://doi.org/10.4266/acc.2021.00780