Osman Yeşilbaş, Mehmet Gökhan Ramoğlu, Özlem Kahraman Çayan, Ela Cem, Pınar Seven
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Successful single-pass albumin dialysis in the management of severe calcium channel blocker poisoning.
Cardiac conduction disturbances, severe hypotension, cardiogenic shock, and pleural effusion, which lead to high disability and mortality rates, may occur as a result of calcium channel blocker (CCB) poisoning (1–3). In cases of toxicity with these drugs, which do not have specific antidotes, gastric lavage and active charcoal, and treatment with fluid load, high-dose calcium, insulin-glucose, glucagon, lipid emulsion and vasopressor-inotropic drugs may be used, if needed. Clearance of these drugs, which have a high degree of plasma protein binding, is not possible with classic hemodialysis (1, 2). In this article, we describe successful single-pass albumin dialysis (SPAD) in a pediatric patient who presented with severe verapamil intoxication that was unresponsive to classic treatments.
期刊介绍:
Turkish Archives of Pediatrics is the official publication organ of Turkish Pediatrics Association. The journal is an international scientific periodical which implements the independent, unbiased peer-review model, publishes content on pediatric health and diseases and its publication languages are both Turkish and English. Turkish Archives of Pediatrics is published four times a year on March, June, September and December and publishes a supplementary issue for Turkish Pediatrics Congress.
The journal’s target audience includes academicians, expert physicians, assistants and medical students. The journal aims to publish high quality research papers on basic and clinical sciences. Turkish Archives of Pediatrics also publishes editorial comments, letters to the editor, rare case reports and content which would contribute to the continuing medical education of physicians. Review articles can only be prepared by academicians upon an invitation.