Position paper update: ipecac syrup for gastrointestinal decontamination

Abstract

The routine administration of ipecac at the site of ingestion or in the emergency department should definitely be avoided. Ipecac may delay the administration or reduce the effectiveness of activated charcoal, oral antidotes, and whole bowel irrigation. There is not sufficient evidence to warrant any change in the previous ipecac position papers. There are, however, insufficient data to support or exclude ipecac administration soon after ingestion of some specific poisons in rare situations.

Exposições Tóxicas Em Crianças a Saneantes De Uso Domiciliar De Venda Legal E Clandestina

“…, 2 , 11 , 12 Gastric lavage and inducing vomiting are formally contraindicated for patients who ingested caustic substances or hydrocarbons, owing to the risk of worsening chemical burns and developing chemical pneumonitis by aspiration, respectively 2 11 , 12 Furthermore, the recommendation of gastric lavage is progressively in disuse, with extremely limited indications, even in intentional intakes 12 and should follow a previous discussion between the health professional and specialized health service, for example, the regional CIATOX.…”

Präklinische Notfälle – Toxikologie des vegetativen Nervensystems

“…Letzte Empfehlungen raten zur Verhinderung von Komplikationen wie Aspiration, Hypoxie und Laryngospasmus ab [8]. Induziertes Erbrechen ist heutzutage obsolet [9]. Wie auch bei Kokain ist die präklinische Therapie symptomorientiert.…”

Pediatric Cardiovascular Toxicity

“…11 For the majority of poisonings, treatment is largely symptomatic and supportive. Decontamination with activated charcoal should be considered for the child who presents with a potentially harmful dose within an hour of the ingestion; has not ingested a hydrocarbon or seizurecausing medication; and is awake, alert, and maintaining the airway.…”