Yesterday my hospital got many patients of (possible) methanol poisoning. What should be done to manage them most efficiently in terms of public health research?
Due to
1- the severity of symptoms
2- ABG
3- serum levels of methanol
at time of admission
Dear Mohammad Majidi
Alcohol is sold on the "black market" to be exempted from taxes.
Unfortunately, some "seller" of alcohol, methyl alcohol selling stolen the chemical industry.
The name is too similar to "methanol" to "ethanol" to the illiterate.
I had many cases caused by this confusion.
Best regards
Mihai Ionicã
In an "in-printing paper" we observed a faster elimination of methanol giving 10 ml/kg of ringer lactate and glutathione 600 mg. This reduces also the liver lesion.
In patients with GCS < 8, lateral position must be achieved, and if possibile surveilled with a pulsioxymeter. If hypotension occur, volume replacement must be performed with ringer lactate (10 ml/kg then 4 ml/kg for the first 10 kg + 2 ml/kg for the second 10 kg + 1 ml kg for every 10 kgs). Assess blood glucose level every two hours. If patient was found on the road, etc. check temperature. Usually, patients with less than 8 of GCS are discharged after 12 hrs in 84.6% of cases.
Best regards,
Federico Ghio
Dear Malay Shah
I have just read your message.
If you verify analytical toxicology laboratory poisoning with methanol, ethanol must be given to patients immediately. If you are conscious, give them to drink vodka or whiskey.
If you are in a coma, infused etanol.
Ethanol locks metabolism of methanol, which is not toxic. Only toxic byproducts of metabolism: formaldehyde and formic acid.
As I suggested and Mohammad Majidi, doing acid-base balance and if you have pH
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