Comparison of intermittent haemodialysis, prolonged intermittent renal replacement therapy and continuous renal replacement haemofiltration for lithium toxicity: a case report.

A Bailey, Vivian Sathianathan, Angela Chiew, Alastair Paterson, Betty Chan, Sumesh Arora

    Research output: Contribution to journalArticlepeer-review

    8 Citations (Scopus)

    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.

    Original languageEnglish
    Pages (from-to)120-122
    Number of pages3
    JournalCritical Care and Resuscitation
    Volume13
    Issue number2
    Publication statusPublished - 2011

    Fingerprint Dive into the research topics of 'Comparison of intermittent haemodialysis, prolonged intermittent renal replacement therapy and continuous renal replacement haemofiltration for lithium toxicity: a case report.'. Together they form a unique fingerprint.

    Cite this