在治疗重症中毒患者期间的脂质乳液疗法:前性队列研究
Michael Levine1, Jeffrey Brent2, Timothy Wiegand3
1Department of Emergency Medicine, University of California, Los Angeles, CA, USA.
Clinical toxicology (Philadelphia, Pa.)
|September 1, 2023
概括
静脉输入的脂类乳液疗法显示,中毒性脂友性与患者存活率或血压变化之间没有相关性. 需要进一步的研究来确定脂质乳液在毒性病例中的有效性.
科学领域:
- 毒理学 毒理学 毒理学
- 药理学 药理学是指药理学的学科.
- 关键护理医学 关键护理医学
背景情况:
- 静脉输入的脂质乳液是某些毒性的潜在解药,基于"脂质沉"理论.
- 这一理论认为,脂质将脂性药物隔离起来,减少它们在组织中的度.
- 关于脂质乳液治疗的疗效和应用存在相互矛盾的数据.
研究的目的:
- 调查静脉注射脂类乳液治疗的患者中中毒性脂性和生存率之间的关联.
- 为了确定有毒物质的脂性程度是否会影响脂乳液治疗后的结果.
主要方法:
- 毒理学研究人员联盟的脂质子注册表中的134名患者的回顾性审查 (2012年5月至2018年12月).
- 存活率数据根据麻醉剂的八醇-水分区系数日志进行了分层.
- 评估了脂友性和治疗后静缩血压变化之间的关联.
主要成果:
- 总共分析了134名患者,其中80.6%的人在中毒后幸存下来.
- 在麻醉剂的脂友性 (逻辑分割系数) 和患者存活率之间没有发现显著的关系.
- 在服用脂质乳液后,静脉血压增加,而不论毒性药物的脂友性.
结论:
- 在接受静脉注射脂类乳液治疗的患者中, Intoxicant 的脂性与生存结果没有相关性.
- 观察到的血压增加独立于麻醉剂的脂友性.
- 这项研究没有评估脂质乳液治疗的整体疗效.
相关概念视频
Prevention of Further Absorption of Poison
851
In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
851
Enhanced Elimination of Poison
539
Poison can be effectively removed from the gastrointestinal (GI) tract through various decontamination procedures.
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...
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...
539
Anticholinesterase Agents: Poisoning and Treatment
918
Anticholinesterases, also known as cholinesterase inhibitors, work by blocking the breakdown of acetylcholine, leading to its accumulation in the synaptic cleft. This accumulation indirectly enhances both muscarinic and nicotinic actions. These agents are classified as reversible or irreversible based on their mechanism of action.
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is...
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is...
918
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
10
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
10


