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Treatment of cocaine overdose with lipid emulsion
R Jakkala-Saibaba1, P G Morgan, G L Morton
1John Hammond Department of Anaesthesia, East Surrey Hospital, Redhill, UK. raveyshankar@yahoo.com
Abstract:
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.
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