Ammonium Bifluoride Poisoning: Our Eight-year Experiences

Journal Title: Çocuk Acil ve Çocuk Yoğun Bakım Dergisi - Year 2018, Vol 5, Issue 1

Abstract

Introduction: The aim of the study was to discuss clinical effects, treatment options and outcomes of pediatric ammonium bifluoride (ABF) poisoning. Methods: This study was designed as retrospective case series. We analyzed the medical records of children who were hospitalized for ABF poisoning between January 2009 and October 2017. Results: The median calcium level on arrival to the hospital was 9.26 mg/dL (minimum-maximum: 4.6-10.9). The median calcium level 2 hours after arrival was 6.44 mg/dL (minimum-maximum: 2-9.2). One patient arrived at the hospital within 3 hours after poisoning and the calcium level on arrival was 4.8 mg/dL. It means that the time elapsed between ABF ingestion and hospital arrival is one of the most important prognostic factors for survival. In our practice, we start 25-75 mg/kg calcium gluconate infusion for hypocalcemia. In our two cases inappropriate dose of calcium gluconate infusion was given to the patients (5 mg/kg in one and 20 mg/kg in the other patient) and both of them died. Conclusion: Although it is a rare condition, this study probably represents the largest sample of patients with pediatric ABF poisoning. Patients, who received oral calcium lactate therapy in addition to intravenous calcium therapy, survived despite the presence of life-threatening ventricular dysrhtymias. We assume that oral calcium lactate therapy was associated with improved survival in ABF toxicity. Future studies on oral calcium lactate therapy and its effects on the survival are needed.

Authors and Affiliations

Serkan Özsoylu, Başak Akyıldız, Adem Dursun

Keywords

Related Articles

The Effect of Carbon Monoxide Poisoning on Platelet Volume in Children

Introduction: Carbon monoxide poisoning is one of the most important causes of morbidity and mortality. There is increasing evidence supporting the important role of mean platelet volume (MPV) as a marker of hypoxia and...

Comparison of Ultrasound Guided Optic Nerve Sheath Diameter Measurements with Other Cranial Imaging Methods (Cranial Computed Tomography and Magnetic Resonance Imaging) in Pediatric Intensive Care Patients

Introduction: Optic nerve sheath diameter (ONSD) measurements aid in diagnosis of increased intracranial pressure (ICP). Computed tomography (CT) and magnetic resonance imaging (MRI) are commonly used modalities for dete...

Procedural Sedation for Orthopedic Fracture Reductions in the Pediatric Emergency Department

To provide an updated literature review on pediatric procedural sedation in the emergency department. Discuss patient evaluation, monitoring, indications, and contraindications of common pharmacologic agents used for pro...

Download PDF file
  • EP ID EP379089
  • DOI 10.4274/cayd.43534
  • Views 123
  • Downloads 0

How To Cite

Serkan Özsoylu, Başak Akyıldız, Adem Dursun (2018). Ammonium Bifluoride Poisoning: Our Eight-year Experiences. Çocuk Acil ve Çocuk Yoğun Bakım Dergisi, 5(1), 6-9. https://europub.co.uk/articles/-A-379089