Life-threatening barium carbonate poisoning managed with intravenous potassium, continuous veno-venous haemodialysis and endoscopic removal of retained ceramic glazes.

Nazila JamshidiNina DhaliwalDean HearnCraig McCalmanRoss WenzelZeff KoutsogiannisDarren M Roberts

Published in: Clinical toxicology (Philadelphia, Pa.) (2022)

In barium poisoning with hypokalaemia, prompt potassium supplementation is required but rebound hyperkalaemia can occur. Endoscopic removal of ceramic glazes may be useful more than 12 h post-ingestion. Consider extracorporeal methods to enhance barium elimination in severe cases.

Keyphrases

ultrasound guided
extracorporeal membrane oxygenation
high dose
early onset
peritoneal dialysis
endoscopic submucosal dissection
end stage renal disease
low dose