J.Jpn. Surg. Soc.. 101(11): 787-790, 2000

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Feature topic

POISON ELIMINATION METHODS IN ACUTE POISONING

This paper presents current ideas about the application of poison elimination methods in acute poisoning. The methods are divided into two groups : poison elimination before absorption ; and enhancement of elimination after drug absorption. The former include washes, emesis, gastric lavage, and administration of activated charcoal and cathartics, while the latter include forced diuresis and extracorporeal toxin elimination such as hemodialysis or hemoperfusion. The indications, contraindications, techniques, and complications, associated with these elimination methods, except for extracorporeal toxin elimination, are discussed. In the treatment of poisoning, early and comprehensive poison elimination is important.

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