Background and Aim: Organophosphorus compounds (OPC) outlines a chief significant group airs a probable danger. India being agriculture based country; OPC has made their run fruitfully into agriculture division but at a price of many lives. The aim of current study is to examine the clinical silhouette of intermediate syndrome in patients with OPC poisoning.

Material and Methods: Present cross-sectional study was conducted at Gujarat Adani Institute of Medical Science, Bhuj, Kutch, Gujarat. Thirty Nine patients showing symptoms of Intermediate syndrome are explored largely and builtin in the research. Ventilator support patients are evaluated for the phase on ventilator and growth of ventilator associated pneumonia (VAP). Results of IMS were linked with type of compound, quantum of exposure, period of IMS, and respiratory failure.

Results: Uneven distributions in gender were observed with male dominating the study. Out of 39 OPC exposed patients, about 33 were improved and 06 were died. Out of 39, 15 patients consumed >120 ml of OPC. Of them on management, 9 are enhanced and 6 were expired and this dissimilarity were significant (p≤0.05) Respiratory failure caused significant number of mortality (p=≤0.05).

Conclusion: The occurrence of IMS in organophosphorus poisoning should be recognized in premature stages and cautious management, monitoring and follow up of affected patients are desirable to decrease the demises.