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Dermale und inhalative Intoxikationen

Seltene Gäste auf unseren Intensivstationen?

Dermal and inhalation poisoning

Rare guests in our intensive care units?

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Zusammenfassung

Dermale und inhalative Vergiftungen, die eine intensivmedizinische Behandlung bedingen, kommen im Alltag nur sehr selten vor. Daher besteht bei den meisten Ärzten hier auch keine hohe Behandlungserfahrung und -Routine. In der vorliegenden Arbeit soll die intensivmedizinische Behandlung von dermalen Verätzungen mit Flusssäure inkl. der vorgeschalteten Diagnostik spezifisch toxikologisch besprochen werden. Bei den inhalativen Vergiftungen werden aus dem Kreis der Brandgase die Expositionen gegenüber Zyaniden und Kohlenmonoxid (CO) behandelt. Besonderes Augenmerk wird auf die hyperbare Sauerstofftherapie bei CO-Vergiftungen gelegt.

Abstract

Patients with dermal and inhalation poisoning are uncommon in intensive care treatment. We describe the diagnostics and specific toxicological treatment of patients with hydrofluoric acid burns. For inhalation poisoning, we focus on smoke inhalation, especially the management of cyanide and carbon monoxide poisoning. Special attention is given to the use of hyperbaric oxygenation for the treatment of carbon monoxide poisoning.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. I. Sagoschen gibt an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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  1. Giftinformationszentrum der Länder Rheinland-Pfalz und Hessen, Universitätsmedizin Mainz, Langenbeckstr. 1, 55131, Mainz, Deutschland

    I. Sagoschen

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Correspondence to I. Sagoschen.

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Sagoschen, I. Dermale und inhalative Intoxikationen. Med Klin Intensivmed Notfmed 108, 476–483 (2013). https://doi.org/10.1007/s00063-013-0220-8

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