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Severe neurological nicotine intoxication by e‐cigarette liquids: Systematic literature review
Author(s) -
Scarpino Maenia,
Rosso Tiziana,
Lanzo Giovanni,
Lolli Francesco,
Bonizzoli Manuela,
Lazzeri Chiara,
Mannaioni Guido,
Baronti Roberto,
Fattapposta Francesco,
Grippo Antonello
Publication year - 2021
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1111/ane.13338
Subject(s) - nicotine , medicine , electronic cigarette , accidental , intensive care medicine , neuroimaging , anesthesia , psychiatry , pathology , physics , acoustics
Electronic cigarettes are a popular, easily purchased, alternative source of nicotine that is considered safer than conventional tobacco. However, Intentional or accidental exposure to e‐liquid substances, mainly nicotine, can lead to serious, potentially fatal toxicity. Emergency and critical care physicians should keep in mind acute intoxication of this poison with a biphasic toxic syndrome. We highlight its potentially fatal outcome and suggest monitoring the adverse effects of nicotine according to a multimodal protocol integrating somatosensory evoked potentials, electroencephalography and neuroimaging data with anamnestic report and toxicological and laboratory data.