Intensive Care Management of Organophosphate Poisoned Patient: A Test of Critical Care Services in Nigeria

Osinaike BB, Oranusi IO, Akinyemi OA, Sanusi AA

University College Hospital, Ibadan, Oyo State, Nigeria.

Correspondence to: Dr Babatunde Babasola Osinaike, PMB 5116,Dugbe, Ibadan,Oyo State, Nigeria.

Email: drosinaike@yahoo.co.uk

Abstract

The management of organophosphate poisoning is challenging, more so in the setting of poor critical care facilities. The management requires the administration of atropine, an antidote (oxime) and supportive care often provided in the ICU. We report a 35year old male who presented with a history of ingestion of an organophosphate insecticide and features of cholinergic and central nervous system affectation. The patient was managed with intravenous atropine, pralidoxime, ventilator support and other supportive care.

 

This paper highlights those challenges associated with the management of organophosphate poisoning in our environment.

 

Keywords: Poisoning; organophosphate; ICU; Developing countries.

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