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Intermittent hemodialysis is superior to continuous veno-venous hemodialysis/hemodiafiltration to eliminate methanol and formate during treatment for methanol poisoning
S. Zakharov, D. Pelclova, T. Navratil, J. Belacek, I. Kurcova, O. Komzak, T. Salek, J. Latta, R. Turek, R. Bocek, C. Kucera, JA. Hubacek, Z. Fenclova, V. Petrik, M. Cermak, KE. Hovda,
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, pozorovací studie, práce podpořená grantem
NLK
Freely Accessible Science Journals
od 1972
ProQuest Central
od 2000-01-01 do 2015-12-31
Open Access Digital Library
od 1972-01-01
Nursing & Allied Health Database (ProQuest)
od 2000-01-01 do 2015-12-31
Health & Medicine (ProQuest)
od 2000-01-01 do 2015-12-31
PubMed
24621917
DOI
10.1038/ki.2014.60
Knihovny.cz E-zdroje
- MeSH
- antidota terapeutické užití MeSH
- dialýza ledvin metody MeSH
- dospělí MeSH
- formiáty krev MeSH
- hemodiafiltrace metody MeSH
- hemodialyzační roztoky MeSH
- koncentrace vodíkových iontů MeSH
- lidé středního věku MeSH
- lidé MeSH
- methanol krev otrava MeSH
- poločas MeSH
- prospektivní studie MeSH
- rychlost toku krve MeSH
- senioři MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- pozorovací studie MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika MeSH
During an outbreak of methanol poisonings in the Czech Republic in 2012, we were able to study methanol and formate elimination half-lives during intermittent hemodialysis (IHD) and continuous veno-venous hemodialysis/hemodiafiltration (CVVHD/HDF) and the relative impact of dialysate and blood flow rates on elimination. Data were obtained from 11 IHD and 13 CVVHD/HDF patients. Serum methanol and formate concentrations were measured by gas chromatography and an enzymatic method. The groups were relatively comparable, but the CVVHD/HDF group was significantly more acidotic (mean pH 6.9 vs. 7.1 IHD). The mean elimination half-life of methanol was 3.7 and formate 1.6 h with IHD, versus 8.1 and 3.6 h, respectively, with CVVHD/HDF (both significant). The 54% greater reduction in methanol and 56% reduction in formate elimination half-life during IHD resulted from the higher blood and dialysate flow rates. Increased blood and dialysate flow on the CVVHD/HDF also increased elimination significantly. Thus, IHD is superior to CVVHD/HDF for more rapid methanol and formate elimination, and if CVVHD/HDF is the only treatment available then elimination is greater with greater blood and dialysate flow rates.
Department of Anesthesiology and Intensive Care Hospital Havirov Havirov Czech Republic
Department of Anesthesiology and Intensive Care Regional Hospital Pribram Pribram Czech Republic
Department of Anesthesiology and Resuscitation City Hospital Ostrava Ostrava Czech Republic
Department of Clinical Biochemistry Tomas Bata Regional Hospital in Zlin Zlin Czech Republic
Department of Internal Medicine Tomas Bata Regional Hospital in Zlin Zlin Czech Republic
J Heyrovský Institute of Physical Chemistry of the AS CR v v i Prague Czech Republic
Citace poskytuje Crossref.org
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