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Intensive Care Medicine

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Cocaine Toxicity in the Intensive Care Unit

Stuart L. Douglas1†, Christine L. D’Arsigny2

1Assistant Professor Departments of Emergency Medicine and Critical Care Medicine, Queen’s University, Kingston, Ontario, Canada

2Associate Professor Departments of Medicine and Critical Care Medicine, Queen’s University, Kingston, Ontario, Canada

Edited by: Dr Imelda Galvin, Assistant Professor Departments of Anesthesiology and Perioperative Medicine and Critical Care Medicine, Queen’s University, Kingston, Ontario, Canada

†Corresponding author email: stuart.douglas@queensu.ca

Published 24 March 2020

Abstract

Cocaine toxicity has a myriad of end-organ complications, both in acute ingestion and chronic abuse. An appreciation for nuances of this presentation is required to provide excellent critical care. Treatment is largely supportive, but rapid control of agitation as well as recognition and treatment of both acute and chronic effects is required to mitigate the poor outcomes in this vulnerable patient population.

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