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Management of Common Poisoning in the ICU

  • V. Gašparović
  • M. Gjurašin
  • D. Ivanović
  • R. Radonić
  • M. Kvarantan
  • M. Merkler
  • D. Kakarigi

Abstract

Poisoning is a clinical condition where one or more organ systems are suddenly or graduahy threatened by exposure to a toxic agent. Accidental poisonings are most frequent (herbicides, carbon monoxide, nicotine, alcohol), followed by suicidal poisonings (drugs, less commonly other poisons), while criminal poisonings occur rarely. Acute poisonings are often emergencies demanding an appropriate approach (identification of poison, prevention of further absorption, removal of poison, symptomatic measures as maintenance of vital functions and administration of antidotes).

Keywords

Metabolic Acidosis Acute Poisoning Artificial Ventilation Gastric Lavage Parenchymal Lesion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Robertson WO (1994) Coping with poisonings in 1994. Liječ Vjesn (8)1:41–43Google Scholar
  2. 2.
    Gašparović V, Gjurašin M, Ivanovic D, Kvarantan M, Radonic R, Merkler M, Puljević D, Pišl Z (1994) Acute poisonings — frequency and prognosis. Liječ Vjesn (8)1:44–46Google Scholar
  3. 3.
    Kulig K (1992) Initial management of ingestion of toxic substances. N Engl J Med 326: 1677–1681PubMedCrossRefGoogle Scholar
  4. 4.
    Minton NA, Virginia Murrau SG (1988) A review of organophosphate poisoning. Med Toxicol 3:350–375Google Scholar
  5. 5.
    Deamaley DP, Martin MFR (1978) Plasmapheresis for paraquat poisoning. Lancet 162–162Google Scholar
  6. 6.
    Miller J, Sanders E, Webb (1978) Plasmapheresis for paraquat poisoning. Lancet 875–876Google Scholar
  7. 7.
    Vesconi S, Langer M, lapichino G, Costantino D, Busi C, Fiume L (1985) Therapy of cytotoxic mushroom intoxication. Crit Care Med 13;5:402–406PubMedCrossRefGoogle Scholar
  8. 8.
    Kulka PJ, Lauven PM (1992) Benzodiazepine antagonists. An update of their role in the emergency care of overdose patients. Drug Safety 7(5):381–386PubMedCrossRefGoogle Scholar
  9. 9.
    Gelfand MC, Winchester JF, Knepshield JH (1980) Hemoperfusion is indicated for severe drug overdose? In: Schreiner GE (ed) Controversies in nephrology 1980. Arlington, pp 210–218Google Scholar
  10. 10.
    Garell S, Lorch JA (1981) Hemoperfusion for poisoning: who needs it? In: Schreiner GE (ed) Controversies in nephrology 1980. Arlington, pp 219–230Google Scholar
  11. 11.
    Trafford JAP, Jones RH, Evans, Sharpstone P (1977) Hemoperfusion with R-004 Amberlite resin for treating amitriptyhne poisoning. Br Med J 2:1435CrossRefGoogle Scholar
  12. 12.
    Duraković Z, Plavšič F, Ivanović D, Gašparović V, Gjurašin M (1982) Resin hemoperfusion in the treatment of try cyclic antidepressant overdose. J Art Org 6:205–207CrossRefGoogle Scholar
  13. 13.
    Durakovic Z, Gašparović V, Plavšić F (1990) Otrovanje etilen glikolom liječeno hemodijalizom. Arh hig rada toksikol 41:201–207PubMedGoogle Scholar
  14. 14.
    Gašparović V, Puljević D, Radonić R, Gjurašin M, De Wolf F, Piši Z (1990) Poisoning with mushrooms with long period of incubation. Liječ Vjesn 113:16–20Google Scholar

Copyright information

© Springer-Verlag Italia, Milano 1996

Authors and Affiliations

  • V. Gašparović
  • M. Gjurašin
  • D. Ivanović
  • R. Radonić
  • M. Kvarantan
  • M. Merkler
  • D. Kakarigi

There are no affiliations available

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