| The cocaine-using patient: perioperative concerns. | |
| | |
MedLine Citation:
|
PMID: 15830766 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Cocaine is an extremely addictive agent which can produce stimulation of the sympathetic nervous system due to the inhibition of catecholamine reuptake at the synaptic junction. Probability of a patient presenting to the operating theatre with acute cocaine intoxication is increasingly likely. The physiological effects of even chronic cocaine abuse on various organ systems have an impact on anesthetic management. A preoperative review of major organ systems is essential. Nitroglycerin has been used in the management of hypertension associated with coronary vasoconstriction. Controversy exists regarding management of ventricular dysrhythmias and asystole. The use of epinephrine to treat asystole is controversial in the presence of a state of excess catecholamines induced by cocaine. General anesthesia may include barbiturates, nitrous oxide, and opioids, but inhalational agents must be used with caution due to their myocardial depressant effects. Regional anesthesia may be a good choice if coagulopathies and hypovolemia are corrected. |
| | |
Authors:
|
Jonathan H Skerman |
Related Documents
:
|
16765226 - Activated coagulation during open and endovascular abdominal aortic aneurysm repair. 7917806 - Acute myocardial infarction: a rare complication of the thrombotic tendency in nephroti... 16239496 - The elusive clot: the controversy over coronary thrombosis in myocardial infarction. 1269136 - Noninvasive detection of intracardiac thrombosis: 131-i fibrinogen cardiac survey. 9197996 - Treatment of the patient with primary familial heterozygous hypercholesterolemia. 7715216 - Severe diastolic dysfunction after endoventriculoplasty. |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: Middle East journal of anesthesiology Volume: 18 ISSN: 0544-0440 ISO Abbreviation: Middle East J Anesthesiol Publication Date: 2005 Feb |
Date Detail:
|
Created Date: 2005-04-15 Completed Date: 2005-05-26 Revised Date: 2005-11-16 |
Medline Journal Info:
|
Nlm Unique ID: 8604187 Medline TA: Middle East J Anesthesiol Country: Lebanon |
Other Details:
|
Languages: eng Pagination: 107-22 Citation Subset: IM |
Affiliation:
|
Department of Anesthesia and Intensive Care, College of Medicine and Medical Sciences, Arabian Gulf University, Kingdom of Bahrain. jskerm@agu.edu.bh |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Anesthesia Central Nervous System Diseases / etiology Cocaine / pharmacokinetics, pharmacology, toxicity Cocaine-Related Disorders / complications* Fetus / drug effects Heart Diseases / etiology Humans Lung Diseases / etiology Perioperative Care* |
| Chemical | |
Reg. No./Substance:
|
50-36-2/Cocaine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Morbid obesity--a review.
Next Document: Regional analgesia combined with avoidance of narcotics may reduce the incidence of postoperative vo...