Toxicology of Cyanides and Cyanogens
Experimental, Applied, and Clinical Aspects
Herausgegeben von Hall, Alan H.; Isom, Gary E.; Rockwood, Gary A.
Toxicology of Cyanides and Cyanogens
Experimental, Applied, and Clinical Aspects
Herausgegeben von Hall, Alan H.; Isom, Gary E.; Rockwood, Gary A.
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The basic and applied toxicology of cyanides and cyanogens has widespread commercial, occupational, environmental, clinical, forensic, military, and public health implications. This book provides a detailed and updated reference describing the properties, uses, general and human toxicology, clinical recognition, diagnosis and medical management, and countermeasures is therefore required in academic, medical, occupational, environmental, medico-legal, regulatory, emergency response, and military arenas. Edited by a world-renowned team of experts from academia, defense and industry, this book…mehr
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- Produktdetails
- Verlag: Wiley & Sons
- 1. Auflage
- Seitenzahl: 368
- Erscheinungstermin: 14. Dezember 2015
- Englisch
- Abmessung: 254mm x 189mm x 25mm
- Gewicht: 776g
- ISBN-13: 9781119978534
- ISBN-10: 111997853X
- Artikelnr.: 42058097
- Verlag: Wiley & Sons
- 1. Auflage
- Seitenzahl: 368
- Erscheinungstermin: 14. Dezember 2015
- Englisch
- Abmessung: 254mm x 189mm x 25mm
- Gewicht: 776g
- ISBN-13: 9781119978534
- ISBN-10: 111997853X
- Artikelnr.: 42058097
toxicity associated with SNP 132 9.6 Incidence of CN
toxicity 134 9.7 Challenges associated with CN
monitoring 140 9.8 Safe use of SNP - clinical monitoring 141 9.9 Prevention and treatment of CN
toxicity 142 9.10 Conclusions 146 9.11 Disclosure 146 References 146 10 Smoke inhalation 151 Alan H. Hall and Stephen W. Borron 10.1 Introduction 151 10.2 Cyanide in smoke inhalation 152 10.3 Plasma lactate levels as a screening assay 154 10.4 Exhaled breath cyanide meters 154 10.5 Cobinamide colorimetric quantitative/qualitative blood cyanide measurements 154 10.6 Additional information 154 References 156 11 Occupational exposure to cyanide 158 Tee L. Guidotti 11.1 Introduction 158 11.2 Firefighters 159 11.3 Hazmat and counter-terrorism 161 11.4 Other occupations 162 11.5 Illicit operations using cyanide 163 References 164 12 Cyanogenic aliphatic nitriles 166 Stephen W. Borron 12.1 Overview 166 12.2 Toxicology 166 12.3 Case reports of human toxicity of specific nitriles 172 12.4 Antidotal treatment 178 12.5 Summary 179 Acknowledgments 179 References 179 13 The special case of acrylonitrile (CH2=CH-C
N) 181 Dana B. Mirkin 13.1 Introduction - clinical vignettes 181 13.2 Physical and chemical properties 182 13.3 History - preparation - manufacture 182 13.4 Occurrence 183 13.5 Compounds and uses 183 13.6 Hazardous exposures 184 13.7 Toxicokinetics 184 13.8 Mode of action 185 13.9 Clinical effects 186 13.10 Diagnosis - toxicity 189 13.11 Treatment - antidote 190 13.12 Biological monitoring 191 13.13 Exposure limits 191 References 192 14 Cyanide in chemical warfare and terrorism 195 René Pita 14.1 Cyanides as chemical warfare agents 195 14.2 Cyanide and chemical terrorism 200 14.3 Conclusions 206 References 206 15 Cyanide-induced neural dysfunction and neurodegeneration 209 Gary E. Isom and Joseph L. Borowitz 15.1 Introduction 209 15.2 Cyanide exposure and manifestations of toxicity 210 15.3 Cyanide-induced histotoxic hypoxia and metabolic dysfunction 210 15.4 Neurochemical actions of cyanide in the nervous system 212 15.5 Cyanide-induced brain injury and neurodegeneration 214 15.6 Endogenous cyanide generation in CNS 215 15.7 Cyanide-induced neurological disorders 216 15.8 Conclusion 220 References 220 16 Cyanides and cardiotoxicity 224 J.-L. Fortin, T. Desmettre, P. Luporsi, and G. Capellier 16.1 Introduction 224 16.2 Physiopathology 224 16.3 Clinical aspects 226 16.4 Treatment 228 16.5 Conclusion 230 References 230 17 Respiratory effects of cyanide 232 A. Eisenkraft, A. Falk, and Y. Bentur 17.1 Background 232 17.2 Mechanisms of the respiratory effects of cyanide 233 17.3 Clinical manifestations and animal studies 238 17.4 Management of cyanide poisoning and its respiratory effects 241 17.5 Conclusion 245 References 245 18 The analysis of cyanide in biological samples 249 Brian A. Logue and Brendan L. Mitchell 18.1 Introduction 249 18.2 Biological matrices 249 18.3 Sample storage 251 18.4 Sample preparation 251 18.5 Spectroscopy 252 18.6 Gas chromatography 254 18.7 High-performance liquid chromatography 256 18.8 Capillary electrophoresis 257 18.9 Electrochemical methods 258 18.10 Sensors 258 18.11 Cyanide metabolites 260 18.12 Insights on cyanide analysis 260 References 260 19 Postmortem pathological and biochemical diagnosis of cyanide poisoning 268 Daniel Lugassy and Lewis Nelson 19.1 Introduction 268 19.2 Cyanide pathology and antemortem presentation 268 19.3 Exposures 269 19.4 Autopsy features 269 19.5 Biochemical analysis 271 19.6 Risk to autopsy staff 273 References 274 Further reading 275 20 Medicolegal and forensic factors in cyanide poisoning 276 Jorn Chi-Chung Yu and Ashraf Mozayani 20.1 Introduction 276 20.2 Forensic practice for the investigation of cyanide poisoning 277 20.3 Discussion 278 20.4 Conclusion 280 References 280 21 Brief overview of mechanisms of cyanide antagonism and cyanide antidotes in current clinical use 283 Alan H. Hall 21.1 Introduction 283 21.2 Methemoglobin inducers 283 21.3 Sulfur donors 285 21.4 Direct cyanide chelating agents 285 21.5 Conclusion 286 References 286 22 Cyanide antidotes in clinical use: 4-dimethylaminophenol (4-DMAP) 288 Alan H. Hall 22.1 Introduction 288 22.2 Mechanism of action 288 22.3 Experimental data 289 22.4 Published clinical data 289 22.5 Adverse/side effects 290 22.6 Conclusions 291 References 291 23 Cyanide antidotes in clinical use: dicobalt EDTA (Kelocyanor®) 292 Alan H. Hall 23.1 Introduction 292 23.2 Mechanism of action 292 23.3 Experimental data 293 23.4 Published clinical data 293 23.5 Adverse/side effects 294 23.6 Conclusions 294 References 294 24 Amyl nitrite sodium nitrite and sodium thiosulfate 296 Richard J. Geller 24.1 History and chemistry 296 24.2 Theoretical bases for use/mechanism of action 297 24.3 Pharmacokinetics 299 24.4 How supplied 299 24.5 Indication and dosing of intravenous antidotes 300 24.6 Adverse effects 301 24.7 Conclusions 301 References 301 25 Cyanide antidotes in current clinical use: hydroxocobalamin 304 Alan H. Hall and Stephen W. Borron 25.1 Background and historical perspective 304 25.2 Pharmacology 305 25.3 Experimental animal studies 306 25.4 Human experience 306 25.5 Dosage and route of administration 306 25.6 Adverse effects 306 25.7 Laboratory interferences 307 25.8 Comparison with other antidotes 307 25.9 Conclusion 307 References 307 26 Cyanide antidotes in development and new methods to monitor cyanide toxicity 309 Matthew Brenner, Sari Mahon-Brenner, Steven E. Patterson, Gary A. Rockwood, and Gerry R. Boss 26.1 Introduction 309 26.2 Cobinamide and sulfanegen 310 26.3 Other cyanide antidotes in development 313 26.4 New research methods to diagnose and monitor cyanide poisoning and therapy 313 26.5 Conclusions 316 References 316 27 Recent perspectives on alpha-ketoglutarate 317 R. Bhattacharya 27.1 Introduction 317 27.2 Cyanide toxicity and its treatment 318 27.3 A-KG as a cyanide antidote 318 27.4 The need for an oral antidote 321 27.5 A-KG as an oral antidote 321 27.6 Some key functions of A-KG 323 27.7 Efficacy of A-KG against other toxins 324 27.8 Role of A-KG as a nutritional supplement 324 27.9 Conclusion 325 Acknowledgments 325 References 325 28 Azide poisonings 330 Thomas L. Kurt and Wendy Klein-Schwartz 28.1 Introduction 330 28.2 Lack of cyanide antidote efficacy 331 28.3 Uses of sodium azide 331 28.4 Review of reported sodium azide human poisoning cases 331 28.5 Human experimental exposures to sodium azide and hydrazoic acid 332 28.6 Signs and symptoms 332 28.7 Fatal cases 332 28.8 Historical perspective 333 28.9 Mechanism(s) of action 333 28.10 Autopsy findings 333 28.11 Other outcomes 333 28.12 Occupational health issues 333 28.13 Occupational/environmental exposure limits/recommendations 334 28.14 Laboratory evaluation 334 28.15 Conclusion 334 Acknowledgments 334 Conflict of interest 334 References 334 Index 337
toxicity associated with SNP 132 9.6 Incidence of CN
toxicity 134 9.7 Challenges associated with CN
monitoring 140 9.8 Safe use of SNP - clinical monitoring 141 9.9 Prevention and treatment of CN
toxicity 142 9.10 Conclusions 146 9.11 Disclosure 146 References 146 10 Smoke inhalation 151 Alan H. Hall and Stephen W. Borron 10.1 Introduction 151 10.2 Cyanide in smoke inhalation 152 10.3 Plasma lactate levels as a screening assay 154 10.4 Exhaled breath cyanide meters 154 10.5 Cobinamide colorimetric quantitative/qualitative blood cyanide measurements 154 10.6 Additional information 154 References 156 11 Occupational exposure to cyanide 158 Tee L. Guidotti 11.1 Introduction 158 11.2 Firefighters 159 11.3 Hazmat and counter-terrorism 161 11.4 Other occupations 162 11.5 Illicit operations using cyanide 163 References 164 12 Cyanogenic aliphatic nitriles 166 Stephen W. Borron 12.1 Overview 166 12.2 Toxicology 166 12.3 Case reports of human toxicity of specific nitriles 172 12.4 Antidotal treatment 178 12.5 Summary 179 Acknowledgments 179 References 179 13 The special case of acrylonitrile (CH2=CH-C
N) 181 Dana B. Mirkin 13.1 Introduction - clinical vignettes 181 13.2 Physical and chemical properties 182 13.3 History - preparation - manufacture 182 13.4 Occurrence 183 13.5 Compounds and uses 183 13.6 Hazardous exposures 184 13.7 Toxicokinetics 184 13.8 Mode of action 185 13.9 Clinical effects 186 13.10 Diagnosis - toxicity 189 13.11 Treatment - antidote 190 13.12 Biological monitoring 191 13.13 Exposure limits 191 References 192 14 Cyanide in chemical warfare and terrorism 195 René Pita 14.1 Cyanides as chemical warfare agents 195 14.2 Cyanide and chemical terrorism 200 14.3 Conclusions 206 References 206 15 Cyanide-induced neural dysfunction and neurodegeneration 209 Gary E. Isom and Joseph L. Borowitz 15.1 Introduction 209 15.2 Cyanide exposure and manifestations of toxicity 210 15.3 Cyanide-induced histotoxic hypoxia and metabolic dysfunction 210 15.4 Neurochemical actions of cyanide in the nervous system 212 15.5 Cyanide-induced brain injury and neurodegeneration 214 15.6 Endogenous cyanide generation in CNS 215 15.7 Cyanide-induced neurological disorders 216 15.8 Conclusion 220 References 220 16 Cyanides and cardiotoxicity 224 J.-L. Fortin, T. Desmettre, P. Luporsi, and G. Capellier 16.1 Introduction 224 16.2 Physiopathology 224 16.3 Clinical aspects 226 16.4 Treatment 228 16.5 Conclusion 230 References 230 17 Respiratory effects of cyanide 232 A. Eisenkraft, A. Falk, and Y. Bentur 17.1 Background 232 17.2 Mechanisms of the respiratory effects of cyanide 233 17.3 Clinical manifestations and animal studies 238 17.4 Management of cyanide poisoning and its respiratory effects 241 17.5 Conclusion 245 References 245 18 The analysis of cyanide in biological samples 249 Brian A. Logue and Brendan L. Mitchell 18.1 Introduction 249 18.2 Biological matrices 249 18.3 Sample storage 251 18.4 Sample preparation 251 18.5 Spectroscopy 252 18.6 Gas chromatography 254 18.7 High-performance liquid chromatography 256 18.8 Capillary electrophoresis 257 18.9 Electrochemical methods 258 18.10 Sensors 258 18.11 Cyanide metabolites 260 18.12 Insights on cyanide analysis 260 References 260 19 Postmortem pathological and biochemical diagnosis of cyanide poisoning 268 Daniel Lugassy and Lewis Nelson 19.1 Introduction 268 19.2 Cyanide pathology and antemortem presentation 268 19.3 Exposures 269 19.4 Autopsy features 269 19.5 Biochemical analysis 271 19.6 Risk to autopsy staff 273 References 274 Further reading 275 20 Medicolegal and forensic factors in cyanide poisoning 276 Jorn Chi-Chung Yu and Ashraf Mozayani 20.1 Introduction 276 20.2 Forensic practice for the investigation of cyanide poisoning 277 20.3 Discussion 278 20.4 Conclusion 280 References 280 21 Brief overview of mechanisms of cyanide antagonism and cyanide antidotes in current clinical use 283 Alan H. Hall 21.1 Introduction 283 21.2 Methemoglobin inducers 283 21.3 Sulfur donors 285 21.4 Direct cyanide chelating agents 285 21.5 Conclusion 286 References 286 22 Cyanide antidotes in clinical use: 4-dimethylaminophenol (4-DMAP) 288 Alan H. Hall 22.1 Introduction 288 22.2 Mechanism of action 288 22.3 Experimental data 289 22.4 Published clinical data 289 22.5 Adverse/side effects 290 22.6 Conclusions 291 References 291 23 Cyanide antidotes in clinical use: dicobalt EDTA (Kelocyanor®) 292 Alan H. Hall 23.1 Introduction 292 23.2 Mechanism of action 292 23.3 Experimental data 293 23.4 Published clinical data 293 23.5 Adverse/side effects 294 23.6 Conclusions 294 References 294 24 Amyl nitrite sodium nitrite and sodium thiosulfate 296 Richard J. Geller 24.1 History and chemistry 296 24.2 Theoretical bases for use/mechanism of action 297 24.3 Pharmacokinetics 299 24.4 How supplied 299 24.5 Indication and dosing of intravenous antidotes 300 24.6 Adverse effects 301 24.7 Conclusions 301 References 301 25 Cyanide antidotes in current clinical use: hydroxocobalamin 304 Alan H. Hall and Stephen W. Borron 25.1 Background and historical perspective 304 25.2 Pharmacology 305 25.3 Experimental animal studies 306 25.4 Human experience 306 25.5 Dosage and route of administration 306 25.6 Adverse effects 306 25.7 Laboratory interferences 307 25.8 Comparison with other antidotes 307 25.9 Conclusion 307 References 307 26 Cyanide antidotes in development and new methods to monitor cyanide toxicity 309 Matthew Brenner, Sari Mahon-Brenner, Steven E. Patterson, Gary A. Rockwood, and Gerry R. Boss 26.1 Introduction 309 26.2 Cobinamide and sulfanegen 310 26.3 Other cyanide antidotes in development 313 26.4 New research methods to diagnose and monitor cyanide poisoning and therapy 313 26.5 Conclusions 316 References 316 27 Recent perspectives on alpha-ketoglutarate 317 R. Bhattacharya 27.1 Introduction 317 27.2 Cyanide toxicity and its treatment 318 27.3 A-KG as a cyanide antidote 318 27.4 The need for an oral antidote 321 27.5 A-KG as an oral antidote 321 27.6 Some key functions of A-KG 323 27.7 Efficacy of A-KG against other toxins 324 27.8 Role of A-KG as a nutritional supplement 324 27.9 Conclusion 325 Acknowledgments 325 References 325 28 Azide poisonings 330 Thomas L. Kurt and Wendy Klein-Schwartz 28.1 Introduction 330 28.2 Lack of cyanide antidote efficacy 331 28.3 Uses of sodium azide 331 28.4 Review of reported sodium azide human poisoning cases 331 28.5 Human experimental exposures to sodium azide and hydrazoic acid 332 28.6 Signs and symptoms 332 28.7 Fatal cases 332 28.8 Historical perspective 333 28.9 Mechanism(s) of action 333 28.10 Autopsy findings 333 28.11 Other outcomes 333 28.12 Occupational health issues 333 28.13 Occupational/environmental exposure limits/recommendations 334 28.14 Laboratory evaluation 334 28.15 Conclusion 334 Acknowledgments 334 Conflict of interest 334 References 334 Index 337