Intravenous Lipid Emulsion for the Treatment of Perioperative Cocaine Intoxication

Symptomatic cocaine intoxication in the preoperative period is a potentially life-threatening condition, especially before emergent surgery. The anesthesiologist is faced with a dilemma where the patient is deemed unsafe for induction of general anesthesia but also in need of immediate surgical inte...

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Detalles Bibliográficos
Autores principales: Saasouh, Wael, Nikam, Anuja, Hachwa, Bachar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Anesthesiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8629685/
https://www.ncbi.nlm.nih.gov/pubmed/34868781
http://dx.doi.org/10.7759/cureus.19146
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author Saasouh, Wael
Nikam, Anuja
Hachwa, Bachar
author_facet Saasouh, Wael
Nikam, Anuja
Hachwa, Bachar
author_sort Saasouh, Wael
collection PubMed
description Symptomatic cocaine intoxication in the preoperative period is a potentially life-threatening condition, especially before emergent surgery. The anesthesiologist is faced with a dilemma where the patient is deemed unsafe for induction of general anesthesia but also in need of immediate surgical intervention. Cocaine is a local anesthetic and, as such, has been proposed to respond to lipid emulsion treatment as other local anesthetics would. We present a case supporting this statement and review the relevant published literature on the topic.
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spelling pubmed-86296852021-12-03 Intravenous Lipid Emulsion for the Treatment of Perioperative Cocaine Intoxication Saasouh, Wael Nikam, Anuja Hachwa, Bachar Cureus Anesthesiology Symptomatic cocaine intoxication in the preoperative period is a potentially life-threatening condition, especially before emergent surgery. The anesthesiologist is faced with a dilemma where the patient is deemed unsafe for induction of general anesthesia but also in need of immediate surgical intervention. Cocaine is a local anesthetic and, as such, has been proposed to respond to lipid emulsion treatment as other local anesthetics would. We present a case supporting this statement and review the relevant published literature on the topic. Cureus 2021-10-30 /pmc/articles/PMC8629685/ /pubmed/34868781 http://dx.doi.org/10.7759/cureus.19146 Text en Copyright © 2021, Saasouh et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Saasouh, Wael
Nikam, Anuja
Hachwa, Bachar
Intravenous Lipid Emulsion for the Treatment of Perioperative Cocaine Intoxication
title Intravenous Lipid Emulsion for the Treatment of Perioperative Cocaine Intoxication
title_full Intravenous Lipid Emulsion for the Treatment of Perioperative Cocaine Intoxication
title_fullStr Intravenous Lipid Emulsion for the Treatment of Perioperative Cocaine Intoxication
title_full_unstemmed Intravenous Lipid Emulsion for the Treatment of Perioperative Cocaine Intoxication
title_short Intravenous Lipid Emulsion for the Treatment of Perioperative Cocaine Intoxication
title_sort intravenous lipid emulsion for the treatment of perioperative cocaine intoxication
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8629685/
https://www.ncbi.nlm.nih.gov/pubmed/34868781
http://dx.doi.org/10.7759/cureus.19146
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AT nikamanuja intravenouslipidemulsionforthetreatmentofperioperativecocaineintoxication
AT hachwabachar intravenouslipidemulsionforthetreatmentofperioperativecocaineintoxication

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