Organophosphate insecticide poisoning

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Intensive care management of organophosphate insecticide poisoning

INTRODUCTION Organophosphate (OP) insecticides inhibit both cholinesterase and pseudo-cholinesterase activities. The inhibition of acetylcholinesterase causes accumulation of acetylcholine at synapses, and overstimulation of neurotransmission occurs as a result of this accumulation. The mortality rate of OP poisoning is high. Early diagnosis and appropriate treatment is often life saving. Treat...

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Intermediate syndrome following organophosphate insecticide poisoning.

Acute organophosphate insecticide poisoning can manifest 3 different phases of toxic effects, namely, acute cholinergic crisis, intermediate syndrome (IMS), and delayed neuropathy. Among them, IMS has been considered as a major contributing factor of organophosphate-related morbidity and mortality because of its frequent occurrence and probable consequence of respiratory failure. Despite a high...

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Parkinsonism complicating acute organophosphate insecticide poisoning.

Dear Editor, Organophosphate insecticides have a triphasic effect on the central nervous system, namely acute cholinergic crisis, intermediate syndrome and delayed polyneuropathy. Although acute organophosphate poisoning is relatively common, case reports describing parkinsonism as a neurological complication following an acute intoxication are limited.1 We report a case of parkinsonism noted o...

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Respiratory failure in organophosphate insecticide poisoning.

OBJECTIVE Organophosphate compounds (OP) are usual insecticides and may poison human beings in a suicide attempt or accidental exposure. They inhibit activity of cholinesterase. Poisoning may be enough sever for intensive care support. In this paper, we study the prevalence and management of sever cases as well. METHODS We studied patients with OP poisoning, from November 2002 to November 200...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 2007

ISSN: 0003-2409,1365-2044

DOI: 10.1111/j.1365-2044.1985.tb10756.x