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Treatment of cocaine overdose with lipid emulsion
Author(s) -
JakkalaSaibaba R.,
Morgan P. G.,
Morton G. L.
Publication year - 2011
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.2011.06895.x
Subject(s) - medicine , anesthesia , resuscitation , lipid emulsion , intubation , drug overdose , tracheal intubation , fat emulsion , intensive care medicine , emergency medicine , poison control , parenteral nutrition
We describe the management and recovery of a 28-year-old man following a history of overdose by nasal inhalation of cocaine. The patient was presented in a comatose state suffering from seizures and marked cardiovascularly instability. Intravenous lipid emulsion was administered following initial resuscitation and tracheal intubation, as a means of treating persistent cardiac arrhythmias and profound hypotension. Following lipid emulsion therapy, the patient's life-threatening cardiovascular parameters rapidly improved and he recovered well without any side effects, thus being discharged within 2 days.