Abstract
To study under standardized experimental conditions the effect of a CO2-induced hyperventilation therapy on carbon tetrachloride (CCl4) levels following acute CCl4 poisoning, rats received 2.5 ml CCl4/kg BW by gastric intubation and were subsequently either treated by CO2-induced hyperventilation or kept in an atmosphere containing air. Peak levels of CCl4 were observed in the fat, liver and blood 3–6 h after the intoxication and were found to be considerably lower in animals treated by CO2-induced hyperventilation compared to their respective controls. These data therefore strongly support the efficacy of the CO2-induced hyperventilation therapy for CCl4 intoxication.
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Bartsokas SC, Papadimitriou DG, Papacharalampous NX, Varonos D (1973) The effect of mild hypothermia in CCl4 toxic hepatitis. Acta Hepato-Gastroenterol 20:275
Bothe J, Braun W, Dönhardt A (1973) Untersuchungen zur Antidotwirkung von Paraffinöl bei Vergiftungen mit Kohlenwasserstoffen an der Maus. Arch Toxicol 30:243
Docherty JF, Burgess E (1922) The action of carbon tetrachloride on the liver. Br Med J 2:907
Dume Th, Herms W, Schröder E, Wetzels E (1969) Klinik und Therapie der Tetrachlorkohlensteffvergiftung. Dtsch Med Wochenschr 94:1646
Dutz H, Eckardt D, Lachhein L, Althaus P, Gerhardt W, Houda W, Jungmann K, Kallas W, Klimpel L, Klinkmann H, Lemke E, Müller D, Otto U, Precht K, Rohmann E, Thieler H, Tredt HJ, Zenker K (1970) Therapie akuter exogener Vergiftungen mit Hilfe von Hämo-und Peritonealdialyse und Ergebnisse dieser Behandlung in der DDR von 1959–1968. Dtsch Gesundheitswesen 25:1437
Frenzel H, Heidenreich T, Gellert J, Teschke R (1982) Protective effect of CO2-induced hypervermlation on the hepatotoxicity elicited by carbon tetrachloride. Liver 2:376
Gellert J, Frenzel H, Heidenreich T, Nishimura M, Teschke R (1981) Hyperventilationstherapie bei Intoxikationen durch halogenierte Kohlenwasserstoffe: Experimentelle Studie zur Frage der Effektivität. Verh Dtsch Ges Inn Med 87:1186
Gellert J, Frenzel H, Heidenreich T, Goldermann L, Vierke W, Teschke R (1982) Effektivität der CO2-induzierten Hyperventilationstherapie bei Vergiftungen durch halogenierte Kohlenwasserstoffe. Intensivmed 19:293
Goldermann L, Gellert J, Teschke R (1983) Quantitative assessment of carbon tetrachloride levels in human blood by head-space gas chromatography: application in a case of suicidal carbon tetrachloride intoxication. Intensive Care Med 9:131
Guild WR, Young JV, Merrill JP (1958) Anuria due to carbon tetrachloride intoxication. Ann Intern Med 48:1221
Hadi SF, El Mikatti N (1981) Acute carbon tetrachloride poisoning. Intensive Care Med 7:20
Hanzlik RP (1981) Reactivity and toxicity among halogenated methanes and related compounds. Biochem Pharmacol 30:3027
Hasumura Y, Teschke R, Lieber CS (1974) Increased carbon tetrachloride hepatotoxicity, and its mechanism, after chronic ethanol consumption. Gastroenterology 66:415
Jennings RB (1955) Fatal fulminant acute carbon tetrachloride poisoning. Arch Pathol 59:269
Kindler U, Goeckenjan G, Barthels F, Grabensee B (1977) Hyperventilationstherapie bei Patienten mit Vergiftungen durch Halogenkohlenwasserstoffe. Intensivmed 14:362
Klare B, Stein G, Gerhardt W (1972) Vergiftungen mit Halogenkohlenwasserstoffen bei Kindern unter besonderer Berücksichtigung der Behandlung mittels Austauschtransfusion oder Hämodialyse. Dtsch Gesundheitswesen 27:690
Krienke EG (1974) Toxikologische Gefahren durch Haushaltsmittel. Monatsschr Kinderheilk 122:541
Krienke EG, Wolff D, Dallmeier E (1975) Antidote effect of liquid paraffin in oral solvent intexication. Arch Toxicol 33:259
Larcan A, Laprevote-Heully M-C, Lambert H, Guine J-M, Galoisy Ph (1973) Intoxication par ingestion d'une dose massive de tétrachlorure de carbone. Guérison en relation probable avec une oxygénothérapie hyperbare précoce. J Eur Toxicol 6:286
Lemburg P (1981) Vergiftungen dutch Kohlenwasserstoffe. Notfallmed 7:913
Lemburg P, Sprock I, Bretschneider A, Storm W, Göbel U (1981) A new concept of therapy in accidental intoxications with halogenated hydrocarbons. Vet Hum Toxicol 21:37
McClugage SG, McCuskey RS (1971) “In vivo” microscopic study of the response of the hepatic microvascular system to carbon tetrachloride poisoning. Microvasc Res 3:354
McLean AEM (1975) Drugs, diet and liver injury. In: Gerok W, Sickinger K (eds) Drugs and the liver. Schattauer, Stuttgart, p 143
Montani S, Perret C (1967) Oxygénation hyperbare dans l'intoxication expérimentale au tétrachlorure de carbone. Rev Franc Etudes Clin Biol 12:274
Moon HD (1950) The pathology of fatal carbon tetrachloride poisoning with special reference to the histogenesis of the hepatic and renal lesions. Am J Pathol 26:1041
Morgan A, Black A, Belcher DR (1970) The excretion in breath of some aliphatic halogenated hydrocarbons following administration by inhalation. Ann Occup Hyg 13:219
New PS, Lubash GD, Scherr L, Rubin AL (1962) Acute renal failure associated with carbon tetrachloride intoxication. JAMA 181:197
Petrich C, Göbel U, Lemburg P, Sprock I (1977) Hyperventilations- und Antikoagulationstherapie bei akuter Intoxikation mit halogenierten Kohlenwasserstoffen. In: Göbel U (ed) Erworbene Gerinnungsstörungen im Kindesalter. Enke, Stuttgart, p 172
Pebay-Peyroula F, Nicaise A-M (1970) Élimination pulmonaire des toxiques — mesure — applications toxicologiques. J Eur Toxicol 5:300
Pothmann R, Lemburg P, Sprock I, Göbel U (1981) Hyperventilationsbehandlung bei oraler Vergiftung mit halogenierten Kohlenwasserstoffen. In: Lemburg P (ed) Pädiatrische Intensivmedizin II, Thieme. Stuttgart, New York, p 229
Rapin M, Got C, Le Gall JR, Goulon M (1967) Effet de l'oxygene hyperbare sur la toxicité hépatique du tétrachlorure de carbone chez le rat. Rev Franc Etudes Clin Biol 12:594
Recknagel RO, Ghoshal AK (1966) Lipoperoxidation as a vector in carbon tetrachloride hepatotixicity. Lab Invest 15:132
Schwarzbeck A, Kösters W (1976) Extrakorporale Hämoperfusion bei akuter Tetrachlorkohlenstoff-Vergiftung. Arch Toxicol 35:207
Siegers C-P, Strubelt O, Dost-Kempf E (1982) Fasting accelerates the in vivo metabolism of carbon tetrachloride in rats. Toxicol Lett 10:423
Smetana H (1939) Nephrosis due to carbon tetrachloride. Arch Int Med 63:760
Smillie WG, Pessoa SB (1923) Treatment of hookworm disease with carbon tetrachloride. Am J Hyg 3:35
Smyth HF, Smyth HF Jr (1936) Safe practices in the industrial use of carbon tetrachloride. JAMA 107:1683
Suarez KA, Carlson GP, Fuller GC (1972) Effect of carbon monoxide or hypoxia on CCl4 hepatotoxicity. Toxicol Appl Pharmacol 23:789
Teschke R, Neuefeind M, Altrogge G, Borchard F, Frenzel H, Fritsch W-P, Miller B, Wienbeck M, Grabensee B, Strohmeyer G (1978) Leberenzymveränderungen nach Intoxikationen mit halogenierten Kohlenwasserstoffen. Verh Dtsch Ges Inn Med 84:1084
Teschke R, Jehle J, Altrogge G (1981) Leberenzymveränderungen bei Vergiftungen durch halogenierte Kohlenwasserstoffe unter Hyperventilationstherapie. In: Lemburg P (ed) Pädiatrische Intensivmedizin II. Thieme, Stuttgart New York, p 39
Teschke R, Vierke W, Goldermann L (1983) Carbon tetrachloride (CCl4) levels and serum activities of liver enzymes following acute CCl4 intoxication. Toxicol Lett 17:175
Truss CD, Killenberg PG (1982) Treatment of carbon tetrachloride poisoning with hyperbaric oxygen. Gastroenterology 82:767
Vierke W, Gellert J, Teschke R (1982) Head-space gas chromatographic analysis for rapid quantitative determination of carbon tetrachloride in blood and liver of rats. Arch Toxicol 51:91
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Gellert, J., Goldermann, L. & Teschke, R. Effect of CO2-induced hyperventilation on carbon tetrachloride (CCl4) levels following acute CCl4 poisoning. Intensive Care Med 9, 333–337 (1983). https://doi.org/10.1007/BF01692552
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DOI: https://doi.org/10.1007/BF01692552