AI Article Synopsis

  • Cocaine intoxication before surgery can be dangerous, complicating anesthesia and surgical decisions for patients in need of urgent care.
  • Anesthesiologists may find patients too risky for general anesthesia while requiring immediate surgery due to cocaine's effects.
  • The case discussed suggests that lipid emulsion treatment could be effective for managing cocaine intoxication, similar to how it works with other local anesthetics.

Article 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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8629685PMC
http://dx.doi.org/10.7759/cureus.19146DOI Listing

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