Emergency Resuscitation Extracorporeal Membrane Oxygenation (ER ECMO) in 60 Saves Life

Aluminum phosphide (ALP) is one of the most commonly used pesticides worldwide with high mortality rates primarily due to the production of phosphene gas which causes severe mitochondrial damage leading to refractory myocardial depression, refractory hypotension, severe metabolic acidosis, and acute...

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Bibliographic Details
Published in:Journal of emergencies, trauma, and shock trauma, and shock, 2023, Vol.16 (2), p.66-67
Main Authors: Vijayakumar, Gowtham, Rangasamy, Ajai, Kumar, Dhilipan, Varadharajan, Ramesh, Ramalingam, Gunaseelan
Format: Report
Language:English
Online Access:Get full text
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Summary:Aluminum phosphide (ALP) is one of the most commonly used pesticides worldwide with high mortality rates primarily due to the production of phosphene gas which causes severe mitochondrial damage leading to refractory myocardial depression, refractory hypotension, severe metabolic acidosis, and acute respiratory distress syndrome.[1] There is no antidote for ALP poisoning and treatment remains mainly supportive. The available literature shows a favorable outcome with extracorporeal membrane oxygenation (ECMO) in severely intoxicated patients presenting early with cardiovascular collapse. In this study, we describe an adult male who presented to us with ALP poisoning following deliberate self-harm, was put on ECMO in the emergency room and had a good prognosis.
ISSN:0974-2700
DOI:10.4103/jets.jets_96_22