HEMODIAFILTRATION EFFICACY IN TREATMENT OF METHANOL AND ETHYLENE GLYCOL POISONING IN A 2YEAROLD GIRL SKUTECZNOŚĆ HEMODIAFILTRACJI W LECZENIU ZATRUCIA METANOLEM I GLIKOLEM U 2LETNIEJ DZIEWCZYNKI

Agnieszka Szmigielska, Hanna Szymanik-Grzelak, Elżbieta Kuźma-Mroczkowska, Maria Roszkowska-Blaim
2015 Developmental Period Medicine   unpublished
Every year about 2.4 million people in USA are exposed to toxic substances. Many of them are children below 6 years of age. Majority of poisonings in children are incidental and related to household products including for example drugs, cleaning products or antifreeze products. Antifreeze solutions contain ethylene glycol and methanol. Treatment of these toxic substances involves ethanol administration, fomepizole, hemodialysis and correction of metabolic acidosis. Purpose: The aim of the study
more » ... he aim of the study was to check the eecacy of continuous venovenous hemodiagiltration in intoxication with ethylene glycol and methanol. Material and methods: One year and 7 months old girl after intoxication with ethylene glycol and methanol was treated with continuous venovenous hemodialtration instead of hemodialysis because of technical problems (circulatory instability). Results: Intravenous ethanol infusion with hemodialtration resulted in rapid elimination of methanol from the body and signiicantly reduced blood ethylene glycol level. Conclusions: Continuous venovenous hemodialtration can be helpful in treatment of ethylene glycol and methanol intoxication.
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