Diagnosis of acute intoxications in critically ill patients: focus on biomarkers – part 2: markers for specific intoxications. (17th February 2020)

• Record Type: Journal Article
• Authors: Reisinger, Alexander; Rabensteiner, Jasmin; Hackl, Gerald
• Is Part Of: Biomarkers. Volume 25:Number 2(2020)
• Page Start: 112
• Page End: 125
• Publication Date: 2020-02-17
• Subjects: Poisoning -- intensive care unit -- biomarker -- critical care -- toxicology -- intoxication; Biochemical markers -- Periodicals; 610.28
• DOI: 10.1080/1354750X.2020.1725787
• Languages: English
• ISSNs: 1354-750X

Abstract

Abstract: In medical intensive care units, acute intoxications contribute to 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.