Toxic ingestions in children

Lipid resuscitation therapy/intravenous lipid emulsion therapy

While investigations are still ongoing regarding its use in children, intravenous lipid therapy is gaining acceptance by some experts for some poisonings in select circumstances (such as bupivacaine toxicity with cardiac arrest). However, little high-quality evidence exists.[65]American College of Medical Toxicology. ACMT position statement: interim guidance for the use of lipid resuscitation therapy. J Med Toxicol. 2011 Mar;7(1):81-2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3614113 ​​[66]Gosselin S, Hoegberg LC, Hoffman RS, et al. Evidence-based recommendations on the use of intravenous lipid emulsion therapy in poisoning. Clin Toxicol (Phila). 2016 Dec;54(10):899-923. https://www.doi.org/10.1080/15563650.2016.1214275 http://www.ncbi.nlm.nih.gov/pubmed/27608281?tool=bestpractice.com This therapy should only be used in consultation with an expert experienced in its use.