Abstract
Whole bowel irrigation is a recently hopeful advancement in detoxification of some special poisons. Polyethylene glycol (PEG), a non-absorbable iso-osmotic laxative preparation, is the substance that can be used with the least rate of complications and causes complete evacuation of gastrointestinal tract in 4-6 hours. PEG preparation has been tolerated well in adults, children and pregnant women, but it seems that its use is mostly disregarded in the management of pediatric poisoning due to poor information about its benefits. Considering several benefits of it and personal experience of the author in regard to the efficacy of this substance in management of pediatric poisoning, here two cases of acute poisoning (swallowing two packets of heroine and a lizard) managed by 40ml/kg/h of PEG are presented. Not only there is no report about any side effect after using this substance in high dozes, but also there are some reports of the excretion of the ingested things in 4-6 hours after the administration of this preparation. The author, based on her own successful experience, suggests polyethylene glycol in the management of acute pediatric poisoning when there seems to be no other way except surgery.
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