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Reisinger, A; Rabensteiner, J; Hackl, G.
Diagnosis of acute intoxications in critically ill patients: Focus on biomarkers - Part 2: Markers for specific intoxications.
Biomarkers. 2020; 145(3): 1-44.
Doi: 10.1080/1354750X.2020.1725787
Web of Science
PubMed
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- Leading authors Med Uni Graz
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Hackl Gerald
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Reisinger Alexander Christian
- Co-authors Med Uni Graz
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Rabensteiner Jasmin
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- Abstract:
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In medical intensive care units acute intoxications contribute for a large proportion of all patients. Epidemiology and a basic overview on this topic were presented in part one. The purpose of this second part regarding toxicological biomarkers in the ICU setting focuses on specific poisons and toxins. Following the introduction of anion and osmol gap in part one, it's relevance in toxic alcohols and other biomarkers for these poisonings are presented within this publication. Furthermore, the role of markers in the blood, urine and cerebrospinal fluid for several intoxications is evaluated. Specific details are presented, amongst others, for cardiovascular drug poisoning, paracetamol (acetaminophen), ethanol, pesticides, ricin and yew tree intoxications. Detailed biomarkers and therapeutic decision tools are shown for carbon monoxide (CO) and cyanide (CN-) poisoning. Also, biomarkers in environmental toxicological situations such as mushroom poisoning and scorpion stings are presented.
- Find related publications in this database (Keywords)
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Poisoning
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intensive care unit
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biomarker
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critical care
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toxicology
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intoxication