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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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8629685 | PMC |
http://dx.doi.org/10.7759/cureus.19146 | DOI Listing |
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