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Is the WHO Recommended Dose of Pralidoxime Effective in the Treatment of Organophosphorus Poisoning?

Phase 1
Completed
Conditions
Deaths
Interventions
Registration Number
NCT02040350
Lead Sponsor
Sheri Kashmir Institute of Medical Sciences
Brief Summary

To evaluate the effectiveness of Pralidoxime, a drug used for treatment of pesticide poisoning (Organophosphorous poisonings)

Detailed Description

The present study was designed to critically analyze the role of pralidoxime in patients with moderate to severe poisoning by dividing them into two comparable groups in all aspects and using WHO recommended dose of pralidoxime (30mg/kg bolus I.V over 20 min followed by 8mg/kg/hr continuous infusion). This dose and continuous infusion protocol is more likely to maintain adequate blood concentrations of pralidoxime throughout 24 hours and thus would avoid any failures in effectiveness of pralidoxime because of inconsistent blood levels.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
100
Inclusion Criteria

history of alleged organophosphorus intake age > 14 years < 60 years clinical signs and symptoms of organophosphorus poisoning.

Exclusion Criteria

< 14 years or > 60 years of age known pregnancy pralidoxime administration at the transferring hospital carbamate poisoning any chronic illnesses

≄ 12 hour interval from time of poisoning to initiation of treatment pre-hospital cardiac or respiratory arrest.

Study & Design

Study Type
INTERVENTIONAL
Study Design
FACTORIAL
Arm && Interventions
GroupInterventionDescription
PlaceboPralidoximePlacebo was given to compare the effects
PralidoximePralidoximePralidoxime for treating organophosphorous poisoning patients
Primary Outcome Measures
NameTimeMethod
mortality rateupto one year
Secondary Outcome Measures
NameTimeMethod
duration of ventilationupto one year

Trial Locations

Locations (1)

Sheri kashmir insititute of medical sciences

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Srinagar, Srinagar Kashmir, India

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