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Research Paper | Medicine | India | Volume 12 Issue 5, May 2023 | Popularity: 5.2 / 10

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To Determine Various Prognostic Factors in Aluminium Phosphide Poisoning and Role of Bicarbonate and Coconut Oil Lavage in Management of Aluminium Phosphide Poisoning

Dr. (Prof.) Nutan Agarwal, Dr. Rahul Khokher, Dr. Diksha Singh, Dr. Pallavi Agarwal

Abstract: Introduction: The mortality in aluminium phosphide poisoning depends upon various prognostic factors and method of gastric lavage. Aims and Objectives: To determine various prognostic factors in patients of Aluminium phosphide poisoning and to study the role of bicarbonate & coconut oil lavage in management of Aluminium phosphide poisoning. Methods: The study was conducted in Department of Medicine, M. L. B. Medical College, Jhansi. A sample size of 100 patients were selected as per criteria. Results: In our study the mortality in patient lavage with KMNO4 (group B) 28 out of 50 (56%) was more as compared to patient lavage with coconut oil and bicarbonate (group A) 4 out of 50 (8%). Conclusion: Dosage of poison, time taken to reach hospital, ECG findings, trop I, serum lactate, creatinine, soda bicarbonate, blood pH are important prognostic markers in the mortality and morbidity in aluminium phosphide poisoning. Inotropic support, mechanical ventilation support, Glasgow coma scale and APACHE II scale also aids in the prognosis. Hence, lavage with coconut oil and soda bicarbonate is recommended.

Keywords: aluminium phosphide, lavage, celphos, soda bicarb, kmno4, mortality

Edition: Volume 12 Issue 5, May 2023

Pages: 1662 - 1671

DOI: https://www.doi.org/10.21275/SR23519132225

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