Citation

Bailey AR, Sathianathan VJ, Chiew AL, Paterson AD, Chan BSH, Arora S. Crit. Care Resusc. 2011; 13(2): 120-122.

Copyright

(Copyright © 2011, Australasian Academy of Critical Care Medicine)

DOI

unavailable

PMID

21627581

Abstract

This case report compares three types of renal replacement therapy for acute severe lithium toxicity and is the first to use prolonged intermittent renal replacement therapy (PIRRT). A peak lithium level of 13.2mmol/L was recorded after a 51- year-old man attempted suicide. He was treated with intermittent haemodialysis (IHD), PIRRT and continuous venovenous haemofiltration (CVVH) over 55 hours. Lithium clearance was shown to be comparable between IHD and PIRRT, both of which were superior to CVVH. Expected efficacy of treatment with a single daily session of PIRRT was higher than IHD or CVVH. PIRRT is a useful strategy for dialysis among patients with acute lithium intoxication.

Language: en

Keywords

Humans; Male; Middle Aged; Time Factors; Suicide, Attempted; Follow-Up Studies; Renal Dialysis; Acute Kidney Injury; Hemofiltration; Lithium Carbonate; Renal Replacement Therapy