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Methanol poisoning: a review and case study of four patients from Central Australia |
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| Authors: | Gerald F. Williams RN RM Crit Care Cert BAppSc Grad Cert PSM MHA CN FRCNA Director of Nursing Services Fay J. Hatch RN RM RMHN Crit Care Cert BN Clinical Nurse Consultant Michael C. Bradley RN RMDN Crit Care Cert BN Registered Nurse |
| Affiliation: | 1Alice Springs Hospital, Northern Territory Senior Lecturer, The Flinders University of South Australia 2Intensive Care Unit, Alice Springs Hospital, Northern Territory 3Intensive Care, Royal Adelaide Hospital, South Australia |
| Abstract: | Methanol intoxication, a rare and potentially lethal form of poisoning, usually results from ingestion and occasionally inhalation of methanol. Initial symptoms of blurred vision, elongated anion gap and metabolic acidosis are typically delayed and may not at first be recognised as methanol-related complaints. Once diagnosed, treatment must be prompt and definitive. As well as general supportive care, ethanol infusion, dialysis and alkalinization form the mainstays of treatment. The cases described in this paper are compared to previous reports from other countries worldwide and contrast the variance in outcome often seen in methanol poisoning. The paper describes two tragic deaths and two lucky survivors, all of whom had consumed a cocktail of methanol and other alcoholic beverages at the same party. The ICU nurse's role in managing the methanol-intoxicated patient relies on that person's sound knowledge of the unusual biochemical reactions occurring in the body and the need to institute definitive and supportive measures to help both patient and family recover. |
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