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급성 중독 환자에서 지질 유탁액 정맥투여의 효과: 체계적 고찰

Other Titles
 Effect of Intravenous Lipid Emulsion in the Patient with Acute Poisoning : A Systematic Review 
Authors
 명진우  ;  고동률  ;  공태영  ;  주영선  ;  유제성  ;  정성필 
Citation
 Journal of the Korean Society of Clinical Toxicology (대한임상독성학회지), Vol.13(1) : 1-10, 2015 
Journal Title
 Journal of the Korean Society of Clinical Toxicology  (대한임상독성학회지) 
ISSN
 1738-1320 
Issue Date
2015
Abstract
Purpose: The purpose of this study was to evaluate the usefulness of intravenous lipid emulsion as well as adverse events in acute poisoning patients. Methods: Literature was accessed through PubMed, EMBASE, Cochrane library, Web of science, and KoreaMed. All forms of literatures relevant to human use of intravenous lipid emulsion for acute poisoning were included. Cases reports or letters without description of clinical outcomes for each case were excluded. The literature search was conducted by two investigators in March, 2015, with publication language restricted to English and Korean. The effect, onset time, and adverse event of lipid emulsion and final outcome of each case were analyzed. Results: Eighty-one published articles were included, excluding articles whose title and abstract were not relevant to this study. No articles were classified as high level of evidence. Sixty-eight case reports were identified, consisting of 25 local anesthetics and 43 other drugs, such as tricyclic antidepressants and calcium channel blockers. Although most cases described significant clinical improvements, some of them showed no beneficial effect or worsening of clinical course. Several adverse events including hyperamylasemia and laboratory interference were reported. Conclusion: Although there were many case reports illustrating successful use of lipid for various drug poisonings, the effect cannot be estimated due to significant possibility of publication bias. Therefore, lipids might be considered in severe hemodynamic instability resulting from lipophilic drug poisoning, however further studies should follow to establish the use of lipid as the standard of care.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/141602
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실)
Yonsei Authors
고동률(Ko, Dong Ryul) ; 공태영(Kong, Tae Young) ; 유제성(You, Je Sung) ; 정성필(Chung, Sung Pil) ; 주영선(Joo, Young Seon)
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