Elsevier

Kidney International

Volume 74, Issue 10, 2 November 2008, Pages 1231-1233
Kidney International

Commentary
Extracorporeal removal of toxins

https://doi.org/10.1038/ki.2008.476Get rights and content
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Holubek et al. reviewed data on extracorporeal removal (ECR) of toxins from the Toxic Exposure Surveillance System (TESS) from 1985 to 2005. Hemodialysis use increased, but hemoperfusion nearly disappeared. Lithium, ethylene glycol, salicylate, and, increasingly, acetaminophen still often necessitate hemodialysis; ECR for theophylline has disappeared. TESS data do not separate continuous renal replacement therapy from hemodialysis, and not all poisonings were reported in this system. Nonetheless, these trends are useful to the nephrology community.

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