RT Book, Section
A1 Goldfarb, David S.
A1 Ghannoum, Marc
A2 Nelson, Lewis S.
A2 Howland, Mary Ann
A2 Lewin, Neal A.
A2 Smith, Silas W.
A2 Goldfrank, Lewis R.
A2 Hoffman, Robert S.
SR Print(0)
ID 1163007162
T1 Principles and Techniques Applied to Enhance Elimination
T2 Goldfrank's Toxicologic Emergencies, 11e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259859618
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1163007162
RD 2024/04/23
AB Enhancing  the  elimination  of  a  xenobiotic  from  a  poisoned  patient  is  a  logical  step  after  initial  stabilization  of  the  airway,  breathing,  and  circulation;  supportive  measures;  and  techniques  to  inhibit  absorption.  Table  6–1  lists  methods  that  might  be  used  to  enhance  elimination.  In  this  chapter,  hemodialysis,  hemoperfusion,  and  hemofiltration  are  considered  extracorporeal  treatments  (ECTRs)  because  xenobiotic  removal  occurs  in  a  blood  circuit  outside  the  body.  Extracorporeal  treatments  are  used  infrequently  because  most  poisonings  are  not  amenable  to  removal  by  these  methods.  In  addition,  because  these  elimination  techniques  have  associated  adverse  effects,  costs,  and  complications,  the  risk-to-benefit  analysis  suggests  they  are  only  indicated  in  a  relatively  small  proportion  of  patients  and  situations.