How much atropine should be given in Organophosphorus poisoning (OPP)

How much atropine should be given in Organophosphorus poisoning (OPP)
In the above video, we are discussing how much atropin should be given in OPP , what should be monitored in it
‪@TheICUChannel‬
#esbicm #theicuchannel #opp_atropine

[@tapentadol549]

Respiratory bronchorrea and bradycardia with hemodynamic instability.

[@TheICUChannel]

🎯 pinning your comment. 👍🏼

[@ravipandey9215]

Sir plz make a full lecture on management of op poisoning in detail

[@MrAdit5721]

Good pandey ji

[@divyayellapu]

Yes sir please your teaching r amazing and concept oriented please sir can you please make lecture on management of op poisoning

[@kirankumarpurohit1089]

Yes sir please give your valuable insight for op poisoning managements.

[@MustafaAhmed-hg7mo]

Thanks!

[@ZahidHussain-ht4tw]

Thanks sir 👍👍

[@mrehteshamjavaid]

Great!

[@atharvavankhande8906]

Atropine can reverse only muscarinic symptoms for nicotinic one must give oximes

[@meandmykitten]

nicely presented

[@TheICUChannel]

Thank u and welcome

[@TheICUChannel]

Glad u liked

[@brijeshdr7091]

You are geat sir....love ur knowledge and ur spirit to share your knowledge

[@TheICUChannel]

Thanks a lot

[@dattapawar6118]

Sir kindly make video on intermittent syndrome...

[@jackk2907]

Thankyou so much sir🎉
Sir.kindly aslo clarify regarding Dose of Atropine sir

[@rahul175singh]

Kindly made a series on drug dilution and preparation

[@virendrasahu376]

Thank you very much sir
Your videos always help us to improve our knowledge and Patient care in right direction 🙏🙏🙏
Showing my Gratitude sir
Salute to you and your team

[@TheICUChannel]

thanks a lot . glad it was helpful

[@rajeshnaidu1377]

Thanku sir

[@satishpargi9694]

Sir plz mention doses of PAM and atropine

[@karthikmarella3791]

Sir , make full video on op poisoning plzzzz

[@meenas398]

Sir , I want to know the significance of Serum cholinesterase level in OP poisoning?? How much reliable is it ? Thank you

[@jochanasahu2030]

sir plz tell abt atropine dose, infusion rate,wat to giv ig atropine psychosis occurs

[@virendrasahu376]

Sir please make a video on gastric lavage in poisoning with which one is the choice for lavage material
In op poisoning
Celphos
Rat killer
When we should use vegetable oil or ns

[@shikhamaniekka8394]

Sir how do treat op poisoning case who presents 2 days late to hospital?

[@sujaysahu1998]

Sir Why we don't give oxygen in Paraquet Poisoning Patient?? Iske bare mein ek short video laiye channel mein please.

[@dr.faisalbari9400]

Sir please give lecture on praquet poison and. Snake bite management in icu

[@khankhan-cw2bq]

Sir once atropinization is achieved should we give maintainance dose ...and what is the purpose of maintainace dose although atropinization is achieved

[@DR.SP.]

🙏

[@BarunKumar-nu1lb]

Sir Can you also guide for INJ PAM Indication

[@Ak-GojoSatoru10]

Sir can we give atropine if a patient has history of inhalation of op poisons while working and he is in bradycardia ??

[@tushar2919]

Thank you

[@TheICUChannel]

Thank u

[@anirudhrawa3]

Sir cpr ke notes pe video bano🙏

[@navneetjuneja]

1:48 Correction: Hemodynamically stable* then only titrate the Atropine dose

[@TheICUChannel]

it is saying which parameters one should see to initiate/start/adjust/titrate atropine.

[@rinkalramoliya41]

Please make a full vedio on Op poisoing.. your vedio is very helpful

[@tejasv9894]

Please make a video on management of snake bites too!

[@TheICUChannel]

It’s there ; ruclips.net/video/I-xw_Nh6zr0/видео.html

[@tejasv9894]

@@TheICUChannel Thank you 😀

[@ezhilmugunthan1725]

Sir When to give Atropine in ACLS and what are all the indications for Atropine in ACLS,could you kindly Clarify sir..

[@dr.shadmbbsdphmasco]

In cases of non Shockable rhythms like Asystole and PEA

[@dr.linshamusthafa7400]

Sir if the op poisoning case don hav bronchorhea or bradycardia but having loose stools ...how can we assess whether atropinisation has reached after atropine administration??

[@TheICUChannel]

a balance should be maintained, infusion of atropine will help.
I am posting a little snippet from Uptodate for this:
Atropine dosing should be titrated to the therapeutic end point of the clearing of respiratory secretions and the cessation of bronchoconstriction. Tachycardia and mydriasis are not appropriate markers for therapeutic improvement, as they may indicate continued hypoxia, hypovolemia, or sympathetic stimulation. In patients with severe poisoning, hundreds of milligrams of atropine by bolus and continuous infusion may be required over the course of several days.
This individualized approach to treatment is supported by the results of an open label randomized trial in which patients (n = 156) treated with incremental doses of atropine plus infusion experienced lower mortality (6 versus 18 deaths) and fewer episodes of atropine toxicity than patients treated with a standard bolus dose plus infusion.

[@kalpanasarathchandra7976]

Why don't give neuromuscular blocks for op poisoning?

[@TheICUChannel]

Why u want to give ?

[@AliHamza-bz2oo]

Sir plz give lectures on poisoning management

[@TheICUChannel]

noted.

[@nairitaghosh]

The video says how much and that is only not said in the entire video

[@TheICUChannel]

The end points are defined not the dose . Dose is adjustable according to end goals .

[@nairitaghosh]

@@TheICUChannel Isnt there any criteria for loading dose or anything?like by weight or something

[@mikuprateek3886]

sir after full atropinisation, what about the pupil reaction
B/L Fixed
OR
B/L Sluggish reacting

[@TheICUChannel]

That’s what I am saying, pupils is not the criteria to adjust atropine dose .

[@BobViveen]

learn to speack english DOCTOR, i dont understand your speach

[@TheICUChannel]

u can turn on captions and understand. youtube is understanding and translating. hope that helps.