Update on antidotes for pediatric poisoning.

Antidotes are playing an increasing role in therapy for pediatric poisonings. Although initial response to all pediatric poisonings begins with basic stabilization, knowledge of specific antidotes, their mechanisms of action, safety profile in pediatrics, and dosing regimens can be life-saving for pediatric victims of nerve gas exposure, acetaminophen toxicity, methanol and ethylene glycol ingestion, and snakebites. This article presents an overview of the pathophysiology, symptoms, antidotes, and emergency management of these toxicological emergencies.

[1]  CROFAB CROTALIDAE POLYVALENT IMMUNE FAB (OVINE) , 2008 .

[2]  M. Lynch Atropine use in children after nerve gas exposure. , 2005, Journal of pediatric nursing.

[3]  R. Dart,et al.  New developments in antidotes. , 2005, The Medical clinics of North America.

[4]  T. Zilker Medical management of incidents with chemical warfare agents. , 2005, Toxicology.

[5]  J. Newmark,et al.  Nerve agent attacks on children: diagnosis and management. , 2003, Pediatrics.

[6]  J. Rotenberg Diagnosis and management of nerve agent exposure. , 2003, Pediatric annals.

[7]  D. Warrell Bites of venomous snakes. , 2002, The New England journal of medicine.

[8]  Theodore J Cieslak,et al.  Biological and chemical terrorism. , 2002, The Journal of pediatrics.

[9]  T. Litovitz,et al.  1999 annual report of the American Association of Poison Control Centers Toxic Exposure Surveillance System. , 2000, The American journal of emergency medicine.

[10]  I. Anderson,et al.  Shorter duration of oral N-acetylcysteine therapy for acute acetaminophen overdose. , 2000, Annals of emergency medicine.

[11]  M. Shannon,et al.  Efficacy of oral versus intravenous N-acetylcysteine in acetaminophen overdose: results of an open-label, clinical trial. , 1998, The Journal of pediatrics.

[12]  K. McMartin,et al.  Treatment of methanol poisoning with intravenous 4-methylpyrazole. , 1997, Annals of emergency medicine.

[13]  L. Sung,et al.  Dilution of intravenous N-acetylcysteine as a cause of hyponatremia. , 1997, Pediatrics.

[14]  J. Borak,et al.  Chemical warfare agents: II. Nerve agents. , 1992, Annals of emergency medicine.

[15]  K. Kulig,et al.  Acetaminophen overdose: a 48-hour intravenous N-acetylcysteine treatment protocol. , 1991, Annals of emergency medicine.

[16]  K. McMartin,et al.  Treatment of ethylene glycol poisoning with intravenous 4-methylpyrazole. , 1989, The New England journal of medicine.

[17]  J. Critchley,et al.  Intravenous N-acetylcystine: the treatment of choice for paracetamol poisoning. , 1979, British medical journal.