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Reisinger, A; Rabensteiner, J; Hackl, G.
Diagnosis of acute intoxications in critically ill patients: Focus on biomarkers - Part 1: Epidemiology, methodology and general overview.
Biomarkers. 2019; 1-41. Doi: 10.1080/1354750X.2019.1694994
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Führende Autor*innen der Med Uni Graz
Hackl Gerald
Reisinger Alexander Christian
Co-Autor*innen der Med Uni Graz
Rabensteiner Jasmin
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Abstract:
Acute intoxications account for a significant proportion of the patient population in intensive care units and sedative medications, ethanol, illicit drugs, inhalable poisons and mixed intoxications are the most common causes. The aim of this article is to describe biomarkers for screening and diagnosis of acute intoxications in critically ill patients. For this purpose, a survey of the relevant literature was conducted, and guidelines, case reports, expert assessments, and scientific publications were reviewed. In critical care it should always be attempted to identify and quantify the poison or toxin with the assistance of enzyme immunoassay (EIA), chromatography, and mass spectrometry techniques and this section is critically appraised in this publication. The principles for anion gap, osmol gap and lactate gap and their usage in intoxications is shown. Basic rules in test methodology and pre-analytics are reviewed. Biomarkers in general are presented in part one and biomarkers for specific intoxications including ethanol, paracetamol, cardiovascular drugs and many others are presented in part two of these publications.

Find related publications in this database (Keywords)
Intoxications
intensive care unit
biomarkers
poisoning
critical care
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