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Naloxone induced pulmonary edema
Naloxone-induced noncardiogenic pulmonary edema is a rare but reported entity that can occur following naloxone use in the reversal of opioid overdose. Proposed mechanisms include an adrenergic crisis secondary to catecholamine surge which causes more volume shift to pulmonary vasculature, subsequen...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7850343/ https://www.ncbi.nlm.nih.gov/pubmed/33552437 http://dx.doi.org/10.1080/20009666.2020.1854417 |
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author | Elkattawy, Sherif Alyacoub, Ramez Ejikeme, Chidinma Noori, Muhammad Atif Masood Remolina, Carlos |
author_facet | Elkattawy, Sherif Alyacoub, Ramez Ejikeme, Chidinma Noori, Muhammad Atif Masood Remolina, Carlos |
author_sort | Elkattawy, Sherif |
collection | PubMed |
description | Naloxone-induced noncardiogenic pulmonary edema is a rare but reported entity that can occur following naloxone use in the reversal of opioid overdose. Proposed mechanisms include an adrenergic crisis secondary to catecholamine surge which causes more volume shift to pulmonary vasculature, subsequently leading to pulmonary edema. It appears to be more common when higher doses of naloxone are used. We present a case of a patient with opioid overdose came with altered mental status developed early features of pulmonary edema following the administration of multiple doses of naloxone. She responded well with the administration of diuretics and oxygen supplementation. Her oxygen requirements improved and didn’t require mechanical ventilation. |
format | Online Article Text |
id | pubmed-7850343 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-78503432021-02-05 Naloxone induced pulmonary edema Elkattawy, Sherif Alyacoub, Ramez Ejikeme, Chidinma Noori, Muhammad Atif Masood Remolina, Carlos J Community Hosp Intern Med Perspect Case Report Naloxone-induced noncardiogenic pulmonary edema is a rare but reported entity that can occur following naloxone use in the reversal of opioid overdose. Proposed mechanisms include an adrenergic crisis secondary to catecholamine surge which causes more volume shift to pulmonary vasculature, subsequently leading to pulmonary edema. It appears to be more common when higher doses of naloxone are used. We present a case of a patient with opioid overdose came with altered mental status developed early features of pulmonary edema following the administration of multiple doses of naloxone. She responded well with the administration of diuretics and oxygen supplementation. Her oxygen requirements improved and didn’t require mechanical ventilation. Taylor & Francis 2021-01-26 /pmc/articles/PMC7850343/ /pubmed/33552437 http://dx.doi.org/10.1080/20009666.2020.1854417 Text en © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Greater Baltimore Medical Center. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Elkattawy, Sherif Alyacoub, Ramez Ejikeme, Chidinma Noori, Muhammad Atif Masood Remolina, Carlos Naloxone induced pulmonary edema |
title | Naloxone induced pulmonary edema |
title_full | Naloxone induced pulmonary edema |
title_fullStr | Naloxone induced pulmonary edema |
title_full_unstemmed | Naloxone induced pulmonary edema |
title_short | Naloxone induced pulmonary edema |
title_sort | naloxone induced pulmonary edema |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7850343/ https://www.ncbi.nlm.nih.gov/pubmed/33552437 http://dx.doi.org/10.1080/20009666.2020.1854417 |
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