TY - JOUR
T1 - Unintentional Pediatric Ingestion of Electronic Cigarette Nicotine Refill Liquid Necessitating Intubation
AU - Noble, Matthew J.
AU - Longstreet, Beck
AU - Hendrickson, Robert G.
AU - Gerona, Roy
N1 - Publisher Copyright:
© 2016 American College of Emergency Physicians
PY - 2017/1/1
Y1 - 2017/1/1
N2 - Liquid nicotine used in electronic cigarette devices is highly concentrated, unreliably packaged, and poorly regulated. We present a case report of a 6-year-old female who developed severe toxicity and required intubation after an unintentional oral ingestion of approximately 703 mg (35 mg/kg) of liquid nicotine, with accompanying serum and urine concentrations of nicotine and its metabolites. Analysis of the ingested liquid suggests a nicotine concentration of 140.6 mg/mL in the purchased commercial product, or 234% of its labeled concentration. Clinicians should be aware of these products and the potential severity of toxicity they may incur.
AB - Liquid nicotine used in electronic cigarette devices is highly concentrated, unreliably packaged, and poorly regulated. We present a case report of a 6-year-old female who developed severe toxicity and required intubation after an unintentional oral ingestion of approximately 703 mg (35 mg/kg) of liquid nicotine, with accompanying serum and urine concentrations of nicotine and its metabolites. Analysis of the ingested liquid suggests a nicotine concentration of 140.6 mg/mL in the purchased commercial product, or 234% of its labeled concentration. Clinicians should be aware of these products and the potential severity of toxicity they may incur.
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U2 - 10.1016/j.annemergmed.2016.08.448
DO - 10.1016/j.annemergmed.2016.08.448
M3 - Article
C2 - 27988056
AN - SCOPUS:85007553248
SN - 0196-0644
VL - 69
SP - 94
EP - 97
JO - Annals of emergency medicine
JF - Annals of emergency medicine
IS - 1
ER -