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2023, Number 4

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Med Crit 2023; 37 (4)

Gastric decontamination with olive oil and hemofiltration in a potentially lethal poisoning by zinc phosphide

Pérez TJG, Bautista AMI, Ortega MSL, Del ÁGN, Rosales BYJ, Ponce LAG

Language: Spanish
References: 47
Page: 356-362
PDF size: 295.40 Kb.


ABSTRACT

Metal phosphides are effective pesticides used to protect grains during storage and transportation, however, their use can be extended to combat pests in places where food is stored, processed, and consumed, such markets, restaurants and even at home. We present the case of a patient who in a suicide attempt ingested a potentially lethal amount of zinc phosphide, who was given an early approach based on supportive therapy, gastric decontamination, administration of olive oil, and the use of hemofiltration as a technique to increase elimination, with which the outcome was favorable. The above suggests that the early initiation of decontamination and the opportune establishment of maintenance therapy are capable of attenuating the impact of these xenobiotics in the organism. Additionally, in our patient a protective factor was not observed with the use of olive oil, but with the use of hemofiltration. Despite this, comparative studies are necessary before considering hemofiltration as the therapy of choice in patients poisoned by metal phosphides.


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