Toxicology in the critical care unit

Philip M. Alapat, Janice L. Zimmerman

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

Abstract

Toxicologic conditions are encountered in critically ill patients due to intentional or unintentional misuse of or exposure to therapeutic or illicit drugs. Additionally, toxicities related to medical interventions may develop in hospitalized patients. This review focuses on recent developments in the field of critical care toxicology. Early interventions to decrease absorption or enhance elimination of toxins have limited value. Specific interventions to manage toxicities due to analgesics, sedative-hypnotics, antidepressants, antipsychotics, cardiovascular agents, alcohols, carbon monoxide, and cholinergic agents are reviewed. Hospital-acquired toxicities due to methemoglobinemia, propylene glycol, and propofol should be recognized and treated. The clinician is continually required to incorporate clinical judgment along with available scientific data and clinical evidence to determine the best therapy for toxicologic conditions.

Original languageEnglish (US)
Pages (from-to)1006-1013
Number of pages8
JournalCHEST
Volume133
Issue number4
DOIs
StatePublished - Apr 2008

Keywords

  • Alcohols
  • Analgesics
  • Antidepressants
  • Antipsychotics
  • Carbon monoxide
  • Methemoglobinemia
  • Overdose
  • Propofol

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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