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TITLE:

CLINICAL OUTCOMES OF PATIENTS ADMITTED WITH ORGANOPHOSPHORUS POISONING IN A TERTIARY HOSPITAL IN LAHORE

AUTHORS:

Dr.Muhammad Farhad, Dr.Mahnoor Azeem, Dr.Ali Raza Chaudhry

ABSTRACT:

Background: Organophosphorus bug sprays are a standout amongst the most significant reasons for unplanned and self-destructive harming in Pakistan. There is a high mortality related with this condition. Techniques: The point of this investigation was to discover the recurrence, requirement for fake aviation route and ventilation, assess the administration and to decide the clinical results of organophosphorous harming patients in a tertiary emergency clinic . An aggregate of 177 patients were incorporated into this review think about more than 3 yeear. Results: Majority of the patients had ordinary respiratory rate while 44 were tachypnoeic. Out of the 49.15% patients requiring tracheal intubation, 40.1% required mechanical ventilation while 17.24% in the long run required tracheostomy. The span of ICU stay extended between 1 – 28 days with a normal of 6.51 days. The span of medical clinic stay extended between 1 – 63 days with a normal of 11.9 days. The in emergency clinic death rate was 18.6%. The administration of organophosphorous harming in this emergency clinic comprised of gastric wash and atropine. The utilization of pralidoxime, glycopyrrolate and enacted charcoal was not uniform. End: Organophosphate harming has fundamentally high rate of prerequisite for tracheal intubation and mechanical ventilation. Regardless of proper administration, it conveys a high danger of in-medical clinic mortality. Pillar of the board of these patients is gastric wash, atropine and mechanical ventilation. Keywords: Organophosphorus poisoning; Tertiary hospital; Intensive care.

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