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Updated: Jul 10, 2026

In vivo Liver Endocytosis Followed by Purification of Liver Cells by Liver Perfusion
Published on: November 10, 2011
Extracorporeal treatment of intoxications
1Adult Intensive Care Unit, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. a.c.depont@amc.uva.nl
Purpose Of Review:
The purpose of this article is to provide the critical care clinician with a comprehensive review of the indications for extracorporeal elimination of toxic substances, to summarize the different techniques and the intoxications for which these techniques are suitable.
Recent Findings:
In the last year, several excellent reviews about toxicological topics have been published. These reviews focused on intoxications in children, the approach of the patient with an unknown overdose, management of intoxications with salicylates, beta-blockers and calcium antagonists and liver support systems. Important developments include the use of high-flux, high-efficiency membranes and albumin dialysis using the molecular adsorbent recirculating system (MARS). This system offers possibilities for the removal of protein-bound substances such as diltiazem, phenytoin and theophylline.
Summary:
Although large randomized controlled trials are scarce in the field of toxicology, the treatment of intoxications is becoming more and more evidence based. This review summarizes the current knowledge and recommendations concerning the extracorporeal treatment of intoxications and discusses new developments in the field, such as the use of high-flux, high-efficiency membranes and albumin dialysis.
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Prevention of Further Absorption of Poison
Enhanced Elimination of Poison
Antidotes serve a crucial role in counteracting the effects of poison by inhibiting enzymes responsible for producing harmful drug metabolites. In some cases, these toxic metabolites can be neutralized by endogenous cosubstrates, which are maintained at specific concentrations to prevent interaction with cellular macromolecules and subsequent cell death.
Renal excretion is the...