Diagnóstico toxicológico del paciente crítico: el desafio




Palabras clave:

MeSH Keywords: Toxicology, Blood poisoning, acute toxicity, critically ill, Critical Care.


Introduction: A high percentage of patients who survived poisoning will be transferred to the Intensive Care Unit (ICU) to continue their management in relation to the severity of the poisoning, and possible complications that arise in this scenario. The clinical results will depend on several factors, such as the ingested dose, the characteristics of the substance, the time of medical attention, and the pre-existing state of health of the patient.

Objective: To review the clinical behavior of poisonings in the critically ill patient.

Recent findings: The data bases that yielded relevant bibliographical results were Web of Sciences, Scopus, PubMed, SciELO, and bibliographic references published between 2012 and 2020 were chosen.

Conclusions: The clinical behavior of poisonings in the critically ill patient is atypical. The intensivist must have an in-depth knowledge of the behavior and pathophysiology of the toxins since making a medical diagnosis on the stage of the critically ill patient is challenging. The integration of all possible medical tools is required to achieve this in the absence of clinical history, and the implementation of early management strategies is necessary to reach physiological restoration by using a continuous evaluation approach. The severity of poisoning in the critically ill patient demands interdisciplinary management that includes assessment by Clinical Toxicology.



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Biografía del autor/a

Diana Ávila Reyes, Md., Fundación Hospital San Pedro, Unidad cardioquirúrgica de Nariño.

Médica general. Especialista en medicina crítica y cuidads intensivos.

Bayron David García Pasichana, Md., Universidad Tecnológica de Pereira

Médico general.

Juan Camilo Galvis Mejía, Md., Universidad Tecnológica de Pereira

Médico y Cirujano.  Especialista en Medicina Crítica y Cuidado Intensivo.

José Fernando Gómez González, Md., Universidad Tecnológica de Pereira.

Médico general y cirujano. Especialista en Medicina Crítica y Cuidado Intensivo.  Director de posgrados Facultad de Ciencias de la Salud, Universidad Tecnológica de Pereira. 

Marisol Margarita Villadiego Molinares, Md., Universidad Nacional de Colombia, Bogotá, Colombia.

Médica general. Especialista en gerencia de salud ocupacional. 

Mateo Aguirre Flórez, Universidad Tecnológica de Pereira

Estudiante de medicina, Universida Tecnológica de Pereira. 

Yessica Alejandra González Cuéllar, Md., Fundación Hospital San Carlos





Cómo citar

Ávila Reyes, D., García Pasichana, B. D., Galvis Mejía, J. C., Gómez González, J. F., Villadiego Molinares, M. M., Aguirre Flórez, M., & González Cuéllar, Y. A. (2021). Diagnóstico toxicológico del paciente crítico: el desafio. Revista Médica De Risaralda, 27(2). https://doi.org/10.22517/25395203.24603



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