The possible therapeutic role of intravenous lipid emulsion in acute aluminium phosphide poisoning: a randomized controlled clinical trial.
Hafsa Salah GheatManar Maher FayedFatma M ElgazzarEman I DrazRabab S El-KelanyPublished in: Toxicology research (2024)
Treatment by ILE resulted in a significant improvement in the survival time, the mean arterial blood pressure, arterial blood gases, and a significant reduction in serum lactate levels. The need for intubation and mechanical ventilation was insignificantly lower in the intervention groups compared to control groups. However, the reduction in mortality rate in the patients of intervention groups compared with control groups was found to be non-significant. Intravenous lipid emulsion use in acute ALP poisoning significantly prolonged the survival time, improved the metabolic acidosis, decreased the serum lactate levels and increased the mean arterial blood pressure and hospital stay in the intervention groups. And insignificantly decreased the mortality rate, need of intubation and mechanical ventilation, and the total dose of vasopressors.
Keyphrases
- mechanical ventilation
- respiratory failure
- blood pressure
- acute respiratory distress syndrome
- randomized controlled trial
- intensive care unit
- liver failure
- end stage renal disease
- cardiac arrest
- extracorporeal membrane oxygenation
- cardiovascular events
- ejection fraction
- high dose
- healthcare
- chronic kidney disease
- emergency department
- heart rate
- risk factors
- free survival
- type diabetes
- prognostic factors
- cardiovascular disease
- aortic dissection
- adipose tissue
- coronary artery disease
- fatty acid
- insulin resistance
- acute care
- patient reported