Key messages

• Elimination techniques should be evaluated on a case by case basis and never viewed as routine.

• Gastric emptying is associated with significant complications and should be utilized in a selected group of patients.

• Activated charcoal is a useful adjunct with rare complications, but is not efficacious in some poisonings, particularly those involving metals.

• Enhanced elimination (diuresis) is applicable to a small group of toxins. While alkaline diuresis is generally safe, acid diuresis is generally not indicated because of the potential for complications.

• Extracorporeal elimination methods (dialysis and hemoperfusion) are effective for rare toxins with small apparent volumes of distribution, limited protein binding, and toxicity which correlates with plasma concentrations.

• Certain antidotes work by modifying the toxicokinetics of the associated toxin, thus providing the opportunity to affect the toxin's elimination favorably.

Sleep Apnea

Sleep Apnea

Have You Been Told Over And Over Again That You Snore A Lot, But You Choose To Ignore It? Have you been experiencing lack of sleep at night and find yourself waking up in the wee hours of the morning to find yourself gasping for air?

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