Use of the Artificial Kidney in Treatment of Thiocyanate Psychosis

Danzig, Lamont E.

doi:10.1001/jama.1955.02960070036010

Cited by 16 publications

(3 citation statements)

References 12 publications

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“…The much longer half-life of plasma SCN in patients with renal failure receiving SNP (9 days compared with 3 days in healthy subjects given SCN (Schulz, Bonn and Kindler, 1979)) makes monitoring of SCN concentrations mandatory in such patients. However, if these patients undergo dialysis then plasma SCN concentration will be decreased rapidly (Danzig and Kringe, 1955;Christensen and Williams, 1962).…”

Section: Thiocyanate Accumulation Related To Snp Dosementioning

confidence: 99%

Blood Cyanide and Thiocyanate Concentrations Produced by Long-Term Therapy With Sodium Nitroprusside

Vesey

Cole

1985

British Journal of Anaesthesia

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Blood cyanide (HCN) or plasma thiocyanate (SCN) concentrations, or both, were measured in 30 patients (ages 11 months-72 yr) receiving sodium nitroprusside (SNP) for 12-314 h. Sequential measurements in three of these patients (infused 5, 12 and 13 days) showed that HCN concentrations varied with dose rate, while SCN concentrations increased linearly with increasing SNP dose. The accumulated data confirmed that the rate of administration (0.3-6.5 micrograms kg-1 min-1) determined the plasma HCN concentrations (0-3.8 mumol litre-1; y = 0.267 X -0.0733; r = 0.64; n = 51; P less than 0.001). Thus, if prolonged exposure to plasma HCN concentrations greater than 1 mumol litre-1 is to be avoided, the maximum safe sustained dose rate of SNP will lie near to 4 micrograms kg-1 min-1. Likewise, the SCN results (30--880 mumol litre-1) confirmed the close relationship between plasma concentrations and the total SNP dose (0.44-32.9 mg kg-1; y = 24.6x + 74.9; r = 0.95, n = 51, P less than 0.001). Therefore, we suggest that, to avoid SCN toxicity (plasma SCN greater than 1.75 mumol litre-1), in the absence of SCN monitoring, the total SNP dose should be less than 70 mg kg-1 in patients with normal renal function.

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Section: Thiocyanate Accumulation Related To Snp Dosementioning

confidence: 99%

Blood Cyanide and Thiocyanate Concentrations Produced by Long-Term Therapy With Sodium Nitroprusside

Vesey

Cole

1985

British Journal of Anaesthesia

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“…Freedom from needle punctures, reduced dietary and fluid restrictions, and decreased risk of disequilibrium syndrome were recognized as potential benefits of choosing PD as one's dialysis modality. The first reported use of CAPD in a child was in Toronto in 1978 6,7,8,9,10,12 PD dialysis fluid is made up of a glucose solution, different concentrations of glucose are provided in order to help with the removal of excess fluid in the blood. The fluid in the blood is pulled across the peritoneal membrane to 'dilute' the glucose using the process called osmosis.…”

Section: Case No Age Initial Parameters Diagnosis Duration Of Pd Compmentioning

confidence: 99%

“…Indications for PD are fluid overload as in Pulmonary edema, Congestive cardiac failure, Refractory hypertension, Hindrance to adequate nutrition,Oliguria following recent heart surgery, Oliguria during ECMO; Symptomatic electrolyte/acid-base imbalances as in Hyperkalaemia (K+ >7.0), Hypo-or hypernatraemia, Acidosis (pH<7.2: or <7.3 withhyperkalaemia), toxins such as Ureamia (puritus, pleuritis, pericarditis, CNS symptoms),Hyperuricemia, Exogenous toxins: lithium, salicylate, ethanol, methanol, bromide, ethylene glycol, aminoglycosides.Haemodiaysis (HD) is the therapy of choice for rapid treatment of dialyzable poisonings4,5,6,7 and Inborn errors of metabolism with encephalopathy and Hyperammonemia.In our series, 5 were hypernatremia, 4 were CRF due to obstructive uropathy and 1 was ARF due to Haemolytic-Ureamic syndrome Contraindicationsof PD are abdominal wall defects of infection, bowel distension, perforation, adhesion or resection andCommunication between the chest and abdominal cavities.…”

mentioning

confidence: 99%

Outcome of Peritoneal Dialysis in Children : Experience in a Tertiary Level Hospital in Chittagong, Bangladesh

Hossain

Badruddoza

Hoque

2013

Chatt Maa Shi Hosp Med Coll J

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Objective:The objective of the study is to see the outcome of peritoneal dialysis in child age group ranging from 6 months to 15 yearsadmitted in ChattagramMaa-Shishu-O-General Hospital ICU setup. Methods: Patients were selected randomly who admitted with the indication of renal replacement therapy.Intermittent peritoneal dialysis was done in 10 patients from February 2012 to January 2013. Results: Out of ten patients eight survived and two died due to complication.The success rate is 80%.Among the survivors four made complete recovery with no complication and another fourwere sent to paediatric surgery for treatment of obstructive uropathy, the primary cause of the renal failure. Conclusion: The data presented indicate that peritoneal dialysis is an effective type of dialysis, that it is safe, that it can be accomplished with a minimum of equipment and that a trained team is essential for its efficient use. It is the preferable practical procedure currently available by which dialysis of an anuric infant or small child can be accomplished.

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The Role of Hemodialysis (Artificial Kidney) in Acute Poisoning

Schreiner¹

1958

Arch Intern Med

132

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Use of the Artificial Kidney in Treatment of Thiocyanate Psychosis

Cited by 16 publications

References 12 publications

Blood Cyanide and Thiocyanate Concentrations Produced by Long-Term Therapy With Sodium Nitroprusside

Blood Cyanide and Thiocyanate Concentrations Produced by Long-Term Therapy With Sodium Nitroprusside

Outcome of Peritoneal Dialysis in Children : Experience in a Tertiary Level Hospital in Chittagong, Bangladesh

The Role of Hemodialysis (Artificial Kidney) in Acute Poisoning

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