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Advances in the Critical Care of Poisoned Paediatric Patients

Overview
Journal Drug Saf
Specialties Pharmacology
Toxicology
Date 1994 Jan 1
PMID 8136089
Citations 2
Authors
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Abstract

Recent improvements in paediatric intensive care may potentially improve outcome for severely poisoned children. The application of advanced techniques of critical care to the poisoned paediatric patient encompasses a wide variety of therapeutic and technical innovations that are primarily directed towards support of the cardiopulmonary system and removal of toxins. New extracorporeal removal techniques such as continuous arterio-venous haemofiltration have not substantively increased our ability to remove toxins except in rare instances. Exotic techniques such as extracorporeal membrane oxygenation remain in the background for use in rare instances only, with little clear data on the relative risks and benefits of applying them.

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References
1.
Salmona M, Donnini M, Perin L, Diomede L, Romano M, Marini M . A novel pharmacological approach for paraquat poisoning in rat and A549 cell line using ambroxol, a lung surfactant synthesis inducer. Food Chem Toxicol. 1992; 30(9):789-94. DOI: 10.1016/0278-6915(92)90081-u. View

2.
Park J, Hsu D, Gersony W . Intraaortic balloon pump management of refractory congestive heart failure in children. Pediatr Cardiol. 1993; 14(1):19-22. DOI: 10.1007/BF00794839. View

3.
Rutten P, MEIJNE N . [Rupture of the intra-aortic balloon during mechanically assisted circulation]. Ned Tijdschr Geneeskd. 1991; 135(23):1036-40. View

4.
Giammona S . Effects of furniture polish on pulmonary surfactant. Am J Dis Child. 1967; 113(6):658-63. DOI: 10.1001/archpedi.1967.02090210072005. View

5.
Paret G, Cohen A, Bohn D, Edwards H, Taylor R, Geary D . Continuous arteriovenous hemofiltration after cardiac operations in infants and children. J Thorac Cardiovasc Surg. 1992; 104(5):1225-30. View