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Published on: December 8, 2012
Intravenous Lipid Emulsion for the Treatment of Perioperative Cocaine Intoxication
Wael Saasouh1, Anuja Nikam2, Bachar Hachwa1
1Anesthesiology, Detroit Medical Center, NorthStar Anesthesia, Detroit, USA.
Abstract:
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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