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Comparison of haemoperfusion and haemodialysis in the therapy of barbiturate intoxication in dogs

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Abstract

Dogs were given large doses of barbiturates. The effect of either haemoperfusion or haemodialysis was assessed and compared to treatment with supportive measures alone. Haemodialysis removed significant amounts of phenobarbitone, amylobarbitone and pentobarbitone, but haemoperfusion proved to be quantitatively superior both for these drugs and also for quinalbarbitone. This was also reflected by the clinical status of all three groups. Little or no disturbances in blood chemistry were observed, although platelet and leucocyte counts were diminished during haemoperfusion.

Zusammenfassung

Hunde wurden mit hohen Dosen von Barbituraten vergiftet. Die Wirkung von Hämoperfusion oder Hämodialyse wurde mit der Behandlung durch herkömmliche Methoden verglichen. Die Hämodialyse entzog bedeutende Mengen von Phenobarbiton, Amylobarbiton und Pentobarbiton, aber die Hämoperfusion erwies sich sowohl für diese Substanzen als auch für Quinalbarbiton quantitativ überlegen. Dies zeigte sich auch im klinischen Zustand aller drei Gruppen. Wenige oder keine Störungen in der Blutchemie wurden beobachtet, obwohl bei der Hämoperfusion die Anzahl von Thrombocyten und Leukocyten absank.

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References

  • Andrale, J. P., Kopp, K., Van Wagenen, R., Chen, C., Kolff, W. J.: (1) Activated carbon and blood perfusion: a critical review. Proc. Europ. Dial. Transplant Ass. 9, 290–302 (1972)

    Google Scholar 

  • Andrade, J. P., Kunitomo, K., Van Wagenen, R., Kastagir, B., Gough, D., Kolff, W. J.: Coated adsorbents for direct blood perfusion: hema/activated carbon. Trans. Amer. Soc. artif. intern. Org. 17, 222–236 (1971)

    Google Scholar 

  • Andrade, J. P., Van Wagenen, R., Chen, C., Ghavamian, M., Volder, J., Kirkham, R., Kolff, W. J.: (2) Coated adsorbents for direct blood perfusion, II. Trans. Amer. Soc. artif. intern. Org. 18, 473–483 (1972)

    Google Scholar 

  • Barbour, B. M.: Peritoneal dialysis in the management of dialysable poisons. Clin. Res. 8, 114 (1960)

    Google Scholar 

  • Barkham, P.: Some haematological aspects of cardiac by-pass surgery. Guy's Hosp. Rep. 116, 115–129 (1968)

    Google Scholar 

  • Berman, L. G., Jeghers, H. J., Schreiner, G. E., Pallotta, A. J.: Hemodialysis, an effective therapy for acute barbiturate poisoning. J. Amer. med. Ass. 161, 820–827 (1956)

    Google Scholar 

  • Campion, D. S., North, J. D.: Effect of protein binding of barbiturates on their rate of removal during peritoneal dialysis. J. Lab. clin. Med. 66, 549 (1956)

    Google Scholar 

  • Chang, T. M. S.: Artificial cells. Springfield (Ill.): Charles C. Thomas 1972

    Google Scholar 

  • Chang. T. M. S., Coffey, J. F., Barre, P., Gonda, A., Dirks, J. H., Levy, M., Lister, C.: Microcapsule artificial kidney: Treatment of patients with acute drug intoxication. Canad. med. Ass. J. 108, 429–433 (1973)

    Google Scholar 

  • Chang, T. M. S., Malave, N.: The development and first clinical use of semipermeable microcapsules (artificial cells) as a compact artificial kidney. Trans. Amer. Soc. artif. intern. Org. 16, 141–147 (1970)

    Google Scholar 

  • Chang, T. M. S., Pont, A., Johnson, L. F., Malave, N.: Response to intermittent extracorporeal perfusion through shunts containing semipermeable microcapsules. Trans. Amer. Soc. artif. intern. Org. 14, 163–167 (1968)

    Google Scholar 

  • Clemensen, C., Nilsson, E.: The therapeutic trends in treatment of barbiturate poisoning. Clin. Pharmacol. Ther. 2, 220 (1961)

    Google Scholar 

  • Dunea, G., Kolff, W. J.: Clinical experience with the Yatzidis charcoal artificial kidney. Trans. Amer. Soc. artif. intern. Org. 11, 178 (1965)

    Google Scholar 

  • Edwards, K. D. H., McCredie, M.: Studies in the binding properties of acidic, basic and neutral drugs to anion and cation exchange resin and charcoal in vitro. Med. J. Aust. 1, 534–539 (1967)

    Google Scholar 

  • Etteldorf, J. N., Montavlo, J. M., Kapen, S., Sheffield, J. A.: Intermittent peritoneal dialysis in the treatment of experimental salicylate intoxication. J. Pediat. 56, 1–10 (1960)

    Google Scholar 

  • Flanagan, R. J., Withers, G.: A rapid micro-method for the screening and measurement of barbiturates and related compounds in plasma by gas-liquid chromatography. J. clin. Path. 25, 899–904 (1972)

    Google Scholar 

  • Hagstam, J. E., Larsson, L. E., Thysell, N.: Experimental studies on charcoal haemoperfusion in phenobarbital intoxication and uraemia, including a list of pathological findings. Acta med. scand. 180, 593–603 (1966)

    Google Scholar 

  • Kendle, A. G., Lowenstein, L.: Alteration in blood coagulation and haemostatis during extracorporeal circulation. Canad. med. Ass. J. 87, 786–790, 859–864 (1962)

    Google Scholar 

  • Kissack, A. S., Jr., Geiedman, M. L., Karlson, K. E.: Studies with ion exchange. resins. Trans. Amer. Soc. artif. intern. Org. 8, 219 (1962)

    Google Scholar 

  • Lawson, L. J., Crawford, N., Dawson, E. P., Blainey, J. D.: Platelet destruction and serotonin release during haemodialysis. Proc. Europ. Dial. Transplant Ass. 2, 63–67 (1965)

    Google Scholar 

  • Lindsay, R. M., Prentice, C. R. M., Davidson, J. F., Burton, J. A., McNicol, G. P.: Haemostatic changes during dialysis associated with thrombus formation on dialysis membranes. Brit. med. J. 4, 454–458 (1972)

    Google Scholar 

  • Nealon, T. F., Jr., Sugerman, H., Shea, E., Fleegler, E.: An extracorporeal device to treat barbiturate poisoning. J. Amer. med. Ass. 197, 158–160 (1966)

    Google Scholar 

  • Pallotta, A. J., Koppanyi, T.: The use of ion exchange resins in the treatment of phenobarbital intoxication in dogs. J. Pharmacol. exp. Ther. 128, 318–327 (1960)

    Google Scholar 

  • Rosenbaum, J. R., Ronquillo, E., Argyres, S. N.: Column hemoperfusion and hemodialysis techniques to treat barbiturate intoxication in dogs. J. A. Einstein med. Cent. 16, 67–71 (1968)

    Google Scholar 

  • Rosenbaum, J. R., Winstein, S., Kramer, M. S., Moros, J., Raja, R.: Resin haemoperfusion in the treatment of drug intoxication. Trans. Amer. Soc. artif. intern. Org. 16, 134–140 (1970)

    Google Scholar 

  • Rosenbaum, J. R., Kramer, M.S., Raja, R., Roreyko, C.: Resin hemoperfusion: a new treatment for acute drug intoxication. New Engl. J. Med. 284, 874–877 (1971)

    Google Scholar 

  • Schreiner, G. E., Teehan, B. P.: Dialysis of poison and drugs, Annual Review. Trans. Amer. Soc. artif. intern. Org. 18, 563–599 (1972)

    Google Scholar 

  • Sunshine, I., Leonard, J. R.: Use of artificial kidney for removal of barbiturates in dogs. Proc. exp. Biol. (N. Y.) 86, 638–641 (1954)

    Google Scholar 

  • Wardle, E. N., Piercy, D. A.: Studies in contact actuation of blood in haemodialysis. J. clin. Path. 25, 1045–1049 (1972)

    Google Scholar 

  • Willson, R. A., Winch, J., Thompson, R. P. H., Williams, R.: Haemoperfusion — rapid removal of paraceramol through coated charcoal. Lancet 1973, 77–79

  • Wilson, J. H., Donker, A. J., Kem, K, D., Wientjes, J.: Peritoneal dialysis for lithium overdose. Brit. med. J. 2, 749–750 (1971)

    Google Scholar 

  • Yatsidis, H.: A convenient hemoperfusion micro-apparatus over charcoal for the treatment of endogenous and exogenous intoxications. Proc. Europ. Dial. Transplant. Ass. 1, 83–87 (1964)

    Google Scholar 

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Medd, R.K., Widdop, B., Braithwaite, R.A. et al. Comparison of haemoperfusion and haemodialysis in the therapy of barbiturate intoxication in dogs. Arch Toxicol 31, 163–174 (1973). https://doi.org/10.1007/BF00310394

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