Acute barbiturate poisoning: clinical picture and outcomes (literature review)
https://doi.org/10.47470/0869-7922-2025-33-6-477-483
EDN: omfteg
Abstract
The features of the clinical course and the main outcomes at different stages of acute poisoning with barbituric acid preparations are considered.
The databases of the Russian National Library, PubMed, Medline, Medscape, eLIBRARY.RU, CyberLeninka were analyzed.
During barbiturate poisoning, it is customary to distinguish four consecutive stages depending on the concentration of the substance in the blood, each of which may be accompanied by the development of certain life-threatening conditions. The risk of developing critical conditions is due to a combination of poisoning with another etiology, the presence of concomitant pathology.
The complications and outcome of acute barbiturate poisoning largely depend on both the severity of the poisoning and the individual patient profile.
Authors’ contribution:
Demidova E.O. – research concept, collection and processing of material, writing, editing;
Reinyuk V.L. – writing, editing;
Kuznetsov S.V. – writing, editing;
Klimenko D.I. – writing, editing.
All co-authors are responsible for approving the final version of the article and ensuring the integrity of all its parts.
Conflict of interests. The authors declare no apparent and potential conflicts of interest in relation to the publication of this article.
Funding. The study had no sponsorship.
Accepted: January 14, 2025 / Revised: March 26, 2025 / Received: November 25, 2025 / Published: January 15, 2026
About the Authors
Ekaterina O. DemidovaРоссия
Researcher at the Laboratory of Biochemistry and Morphology, Department of Biomedical and Translational Research, S.N. Golikov Scientific and Clinical Center of Toxicology of the FMBA of Russia, St. Petersburg, 192019, Russian Federation
e-mail: bedskaya.667@yandex.ru
Vladimir L. Reinyuk
Россия
Doctor of Medical Sciences, Associate Professor, Acting Director, S.N. Golikov Scientific and Clinical Center of Toxicology of the FMBA of Russia, St. Petersburg, 192019, Russian Federation
e-mail: vladton@mail.ru
Semyon V. Kuznetsov
Россия
Candidate of Medical Sciences, Associate Professor, Leading Researcher, S.N. Golikov Scientific and Clinical Center of Toxicology of the FMBA of Russia, Petersburg, 129019, Russian Federation; Associate Professor of the Department of Extreme Medicine, Traumatology, Orthopedics and Military Field Surgery, St. Petersburg State Pediatric Medical University of the Ministry of Health of the Russian Federation, Saint Petersburg, 194100, Russian Federation
e-mail: nachsml@mail.ru
Dmitry I. Klimenko
Россия
Junior Researcher at the Laboratory of Toxicology, S.N. Golikov Scientific and Clinical Center of Toxicology of the FMBA of Russia, St. Petersburg 192019, Russian Federation
e-mail: dima.klimenko999@mail.ru
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Review
For citations:
Demidova E.O., Reinyuk V.L., Kuznetsov S.V., Klimenko D.I. Acute barbiturate poisoning: clinical picture and outcomes (literature review). Toxicological Review. 2025;33(6):477-483. (In Russ.) https://doi.org/10.47470/0869-7922-2025-33-6-477-483. EDN: omfteg
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