Abstract
Aluminium phosphide (ALP) is one of the most commonly used pesticides worldwide with high mortality rates. Cellular damage and cardiorespiratory failure are the most common causes of mortality and morbidity after poisoning. It is supposed that giving enough time to the patient to survive, the most critical hours after exposure may help the cardiovascular system to recover itself and save the patient's life. During a training workshop for medical extracorporeal membrane oxygenation (ECMO), a 28-year-old ALP-poisoned male was referred to us. Fifty minutes after admission, he developed hypotension and bradycardia and was transferred to ICU. On the second venous blood gas, he had severe metabolic acidosis. After starting the patient on the routine treatment of ALP poisoning, he was a candidate for veno-arterial (VA) ECMO. After three days, lactate level decreased and his general condition improved. On day four, the patient was completely separated from the ECMO machine with acceptable echocardiography and ejection fraction of 40%. One day later, he was extubated, sent to the ward and subsequently discharged in good condition. We suggest this method of treatment for severe ALP poisoning as well as any other poisoning that causes cel...Continue Reading
References
Mar 13, 2009·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Alex T Proudfoot
Sep 26, 2009·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Omid MehrpourShahin Shadnia
Jan 25, 2011·Indian Journal of Medical Sciences·Shahin ShadniaKambiz Soltaninejad
Mar 28, 2012·Arhiv za higijenu rada i toksikologiju·Omid MehrpourMohammad Abdollahi
Apr 18, 2012·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Hossein Hassanian-Moghaddam, Afshin Shahbazi
Jan 29, 2013·Daru : Journal of Faculty of Pharmacy, Tehran University of Medical Sciences·Ali Akbar Moghadamnia
Nov 12, 2013·The Annals of Thoracic Surgery·Richard ChengBabak Azarbal
Jan 22, 2014·Arhiv za higijenu rada i toksikologiju·Omid MehrpourRobert S Hoffman
Feb 13, 2014·Basic & Clinical Pharmacology & Toxicology·Afshin Mohammad AlizadehOmid Mehrpour
Oct 4, 2014·Journal of the Saudi Heart Association·Wael ElabbassiArif Al Nooryani Fachtartz
May 28, 2015·Journal of Medical Toxicology : Official Journal of the American College of Medical Toxicology·G S WangUNKNOWN Toxicology Investigators Consortium
Citations
Feb 24, 2016·Basic & Clinical Pharmacology & Toxicology·Mohammad MashayekhianShahin Shadnia
Aug 9, 2016·Medicine·Hossein Hassanian-Moghaddam, Nasim Zamani
Oct 18, 2016·Arhiv za higijenu rada i toksikologiju·Behrooz Hashemi-DomenehAli Ostadi
Feb 6, 2017·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Maryam Vasheghani FarahaniSayed Mahdi Marashi
Mar 29, 2018·PloS One·Nastaran RahimiAhmad R Dehpour
Feb 1, 2018·Cardiovascular Toxicology·Narges-Sadat ZahedNasim Zamani
Jul 11, 2018·Arhiv za higijenu rada i toksikologiju·Jafar AhmadiSomayyeh Karami-Mohajeri
Oct 5, 2018·Arhiv za higijenu rada i toksikologiju·Nasim ZamaniSakine Ebrahimi
Mar 12, 2019·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Bishav MohanBhupinder Singh
Jul 20, 2019·Expert Opinion on Drug Metabolism & Toxicology·Omid MehrpourPatrick Ng
Mar 5, 2020·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·A K PannuD P Dhibar
May 17, 2019·Journal of Medical Case Reports·Hiroki NagasawaYouichi Yanagawa
Sep 15, 2019·Environmental Science and Pollution Research International·Abeer A ShetaNehad H Gad
Dec 6, 2016·SpringerPlus·Fakhreddin TaghaddosinejadOmid Mehrpour
Oct 29, 2018·Journal of Medical Case Reports·Achyut SharmaAnup Ghimire
May 31, 2019·Journal of Agricultural and Food Chemistry·Dong-Dong ZhangShuo Wang
Dec 7, 2021·Anaesthesia and Intensive Care·Ross A FarrarPeter M Garrett