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October 7, 1974

Peritoneal Dialysis for Isopropyl Alcohol Poisoning

Author Affiliations

Cedars-Sinai Medical Center Los Angeles

JAMA. 1974;230(1):35. doi:10.1001/jama.1974.03240010019008

To the Editor.—  Isopropyl alcohol poisoning has been successfully treated with hemodialysis.1 Any substance removed by the artificial kidney can also be removed, although not quite as rapidly, by peritoneal dialysis. As in the case described, acute isopropyl alcohol poisoning can be treated successfully with peritoneal dialysis.

Report of a Case.—  In 1965, after an automobile accident, a 26-year-old man incurred a basal skull fracture and a brainstem contusion. Because of an incomplete recovery, he was mentally retarded and disabled. He had been in otherwise good health until April 17, 1974, when he was admitted to a hospital for the loss of consciousness following a fall in his bathroom. He was semicomatose and responded to deep pain only. He gave off a strong odor of alcohol.A nasogastric lavage yielded coffee-ground material. He was treated with intravenously administered fluids (5% dextrose in water), nasogastric suction, and peritoneal dialysis, which was