EXTRIP @ExtripWorkgroup

The EXTRIP mission is to provide evidence-based recommendations on the use of extracorporeal treatments for toxin removal in poisoning. extrip-workgroup.org Joined October 2014

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EXTRIP @ExtripWorkgroup

2 years ago

@ThommyTox @EMPoisonPharmD I sound like a broken record. VD= 30L/kg. You're not removing any bupropion with MARS (or otherwise)

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EMCrit 370 - Extracorporeal Therapies for Poisoning #ExTRIP #NephMadness A panel of brilliant nephrologists discuss RRT for the Poisoned Patient. Modality choice, how to consult, access, hemodynamic stability and so much more! [#FOAMed] emcrit.org/370

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EXTRIP @ExtripWorkgroup

2 years ago

@JEGAYTAN90 @ArgaizR @alfonsogindl @hydws_ @Elena_Cervants @AJKDonline @NephMadness @weddellite @DrDianeC @MarcGhannoum @NefroINCMNSZ @medicinterna There's a cool case report of someone using isopropanol (a less toxic alcohol) as an antidote for EG poisoning (although I would contend that a cheap scotch bottle is easy enough to find).

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EXTRIP @ExtripWorkgroup

2 years ago

@hswapnil @weddellite @DrDianeC @JEGAYTAN90 Sorry, was late to the party! Everything said here for glucarpidase is correct. Removes MTX from the blood, but not where it hurts (inside the cells). If AKI has occurred, it's probably too late. And no data of improved outcomes. Obs data suggests outcomes unchanged.

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EXTRIP @ExtripWorkgroup

3 years ago

@baileympaterson Happy to read the answers. Maximize clearance. You're not removing net fluid. HD is preferred.

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EXTRIP @ExtripWorkgroup

3 years ago

Stop the press! Our latest guideline: when to use dialysis for ethylene glycol poisoning. Perhaps our best paper yet. Hundreds of articles included, thousands of hours of work. ccforum.biomedcentral.com/articles/10.11…

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EXTRIP @ExtripWorkgroup

4 years ago

@Sthanu5 3) Nothing corrects metformin-associated acidemia as quickly as HD

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EXTRIP @ExtripWorkgroup

4 years ago

@Sthanu5 2) The VD of metformin in AKI is actually quite low and you will remove it with HD.

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Sociedad Valenciana de Nefrología @SVNefro

4 years ago

Si eres un #believer de los #some en la formación continuada tienes que seguir a @ExtripWorkgroup: Perfil que se dedica a informar sobre las técnicas de depuración extracorpórea en casos de envenenamiento extrip-workgroup.org @SENefrologia @senjoven @SOMANEorg @nefrocat

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AJKD @AJKDonline

4 years ago

Extracorporeal Treatment for Gabapentin and Pregabalin Poisoning: Systematic Review and Recommendations From the @ExtripWorkgroup buff.ly/31g3bxe (FREE temporarily)

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Matthew Zuckerman, MD @matthew608b

4 years ago

Checkout this handout from todays #AAEM22 talk on Toxic Ingestion and Dialysis. Thanks @ExtripWorkgroup for such great guidelines. dropbox.com/s/cskha940sk8b…

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EXTRIP @ExtripWorkgroup

4 years ago

Should we dialyze a patient who is toxic from high-dose or oral methotrexate? The jury is now out: cjasn.asnjournals.org/content/early/… Or on our website: extrip-workgroup.org

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EXTRIP @ExtripWorkgroup

4 years ago

@drmjkulkarni I would be extremely dubious about any potential benefit.

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AJKD @AJKDonline

4 years ago

Extracorporeal Treatment for Gabapentin and Pregabalin Poisoning: Systematic Review and Recommendations From the @ExtripWorkgroup buff.ly/3AZi701 (FREE temporarily)

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AJKD @AJKDonline

5 years ago

Extracorporeal Treatment for Gabapentin and Pregabalin Poisoning: Systematic Review and Recommendations From the @ExtripWorkgroup buff.ly/31g3bxe @sgosselinmd

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EXTRIP @ExtripWorkgroup

5 years ago

@MPCToxtidbits @EdinClinTox All but 1 patient in the TK table for gabapentin had impaired kidney function. All had impaired kidney function for pregabalin. Half-life was during ECTR so includes ECTR and endogenous function, the latter being quite low presumably

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EXTRIP @ExtripWorkgroup

5 years ago

Just out: EXTRIP's recommendations for dialysis in gabapentin / pregabalin poisoning extrip-workgroup.org/gabapentin-pre…

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Swapnil Hiremath @hswapnil.medsky.social @hswapnil

5 years ago

not simu-live tweeting as absolutely cannot do justice to the excellent @ExtripWorkgroup session at #KidneyWk organized by @weddellite but want to highlight this @DavidJuurlink quotes the IBCC on the big screen! @PulmCrit Salicylate is a huge mimic!