iarjmsIARJMSIARJMS2708-3594https://doi.org/10.47310/iarjms.2021.v02i01.018Gastric Ventilation Along With Gastric Lavage in Celphos Poisoning: A Prospective StudySuhailHassanSanahrashidRijulSainiManojAggarwalIntroduction: AlP is also known as celphos and is one of the most dreaded poisons one can ever encounter in toxicology. Due to non-availability of antidote and high mortality celphos poisoning has always been a big headache and menace for the intensivists throughout the world. Literature is full of different drugs and trials to counter its irreversible toxic effects, but hardly with any concrete success. In literature the usefulness of the gastric ventilation technique had been reported. Further clinical trials are required to assess the usefulness of this technique and this study is one of the attempts towards the same. Materials and Methods: This is a prospective descriptive study of patients of celphos (AlP) poisoning carried out in Oscar super-speciality hospital Sonipat Haryana from January to December 2019. Twenty patients were admitted in ICU of our hospital over the last 1-year period with an alleged history of intake of celphos. Gastric lavage along with gastric ventilation was done in all patients along with other supportive treatment. Results: Mean age of our patients was 22.2 years with male to female ratio of 3:2. Most of the patients presented with non-specific findings. During hospitalisation hypotension, arrythmias and respiratory failure were common. 60% of patients in this study need artificial ventilation while as ionotropic support was needed in 50% of patients. Mortality rate in this study was 65%. Mortality rate was statistically high in cases who had hypotension, multiorgan failure, delayed gastric lavage and where ingestion of poison was greater than 4 grams. Conclusion: AlP poisoning is one of the most dreaded poisons one can ever encounter in toxicology. In India it is commonly used by farmers as pesticide as it is cheap, effective, free from toxic residue and does not affect seed viability. As there is no specific antidote for AIP poisoning so most of the treatment is supportive. Gastric ventilation along with gastric lavage with the aim of removing phosphine gas from stomach before it is absorbed seems to be effective in decreasing mortality in these patients however before it becomes a routine procedure like gastric lavage in these patients further studies with controlled head-to-head trails and minimising confounding factors needs to be done.