Poisonings and overdoses in the intensive care unit: General and specific management issues

Poisonings and overdoses in the intensive care unit: General and specific management issues
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DOI:
10.1097/01.ccm.0000100123.50896.f0
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发表时间:
2003-12-01
影响因子:
8.8
通讯作者:
Zimmerman, JL
Zimmerman, JL
中科院分区:
医学1区
文献类型:
--
作者:
Zimmerman, JL

文献摘要

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目的:为了提供目前的信息,一般和具体的干预措施过量可能需要intensive care.Design:回顾文献相关的选择干预措施的一般管理过量和具体poisons.Results.减少毒素吸收或增强毒素消除的干预措施的益处仅限于相对少数的特定制剂。如果使用得当,解毒剂和某些干预措施可能有助于预防或治疗特定中毒中的毒性。加强支持性护理也是获得良好结局的必要条件。了解目前中毒和过量干预措施的适应症和局限性对于危重中毒患者的护理非常重要。
Objective: To provide current information on general and specific interventions for overdoses likely to require intensive care.Design: Review of literature relevant to selected interventions for general management of overdoses and specific poisons.Results. The benefit of interventions to decrease absorption or enhance elimination of toxins is limited to a relatively small number of specific agents. Antidotes and certain interventions may be helpful in preventing or treating toxicity in specific poisonings when used appropriately. Intensive supportive care is also necessary to achieve good outcomes.Conclusion. Knowledge of the indications and limitations of current interventions for poisonings and overdoses is important for care of the critically ill poisoned patient.