Aluminum phosphide when ingested is highly toxic with fatal dose as low as 1.5 g. The dominant clinical feature is severe hypotension refractory to dopamine.

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Though incidence of acute pesticide poisoning increased over decades, there has been a decline in mortality for both aluminum phosphide and anticholinesterases. There is still need for measures like integrated pesticide management, development of safer aluminum phosphide formulations, and training of farmers in spraying techniques.

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Non-invasive, abdominal, acoustic monitoring prospectively predicts POI. Surgeons may use AGIS to rule out POI with over 80% certainty; this offers added confidence to advance feeding earlier in those for whom it is safe.

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Non-invasive, abdominal acoustic monitoring distinguishes POI from non-POI subjects. Future research will test whether AGIS can identify patients at risk for development of POI and assist with postoperative feeding decisions.