Extracorporeal elimination of salicylate may be indicated if certain conditions are present.
Indications for extracorporeal elimination:
(1) acute intoxication and serum level > 100 mg/dL
(2) chronic intoxication and serum level > 60 mg/dL
(3) cardiac failure
(4) renal failure
(5) intractable metabolic acidosis
(6) severe fluid imbalance
(7) seizures (poor prognostic risk factor)
Extracorporeal Technique
Use
charcoal hemoperfusion
better salicylate clearance but does not correct fluid, acid-base or electrolyte problems as well as hemodialysis
hemodialysis
corrects fluid, acid-base and electrolyte disorders
peritoneal dialysis
third choice
To read more or access our algorithms and calculators, please log in or register.
Specialty: Toxicology, Emergency Medicine, Critical Care
ICD-10: ,