Opiate Withdrawal Complicated by Tetany and Cardiac Arrest
Reads0
Chats0
TLDR
This case highlights how a benign opiate withdrawal symptom of hyperventilation led to severe respiratory alkalosis that degenerated into tetany and cardiac arrest.Abstract:
Patients with symptoms of opiate withdrawal, after the administration of opiate antagonist by paramedics, are a common presentation in the emergency department of hospitals. Though most of opiate withdrawal symptoms are benign, rarely they can become life threatening. This case highlights how a benign opiate withdrawal symptom of hyperventilation led to severe respiratory alkalosis that degenerated into tetany and cardiac arrest. Though this patient was successfully resuscitated, it is imperative that severe withdrawal symptoms are timely identified and immediate steps are taken to prevent catastrophes. An easier way to reverse the severe opiate withdrawal symptom would be with either low dose methadone or partial opiate agonists like buprenorphine. However, if severe acid-base disorder is identified, it would be safer to electively intubate these patients for better control of their respiratory and acid-base status.read more
Citations
More filters
Journal ArticleDOI
Withdrawal syndrome after co-medication of opioid maintenance therapy with nalmefene: unrecognized interaction.
Caroline Diot,Céline Eiden,Anne Roussin,Anne Batisse,Alexandra Boucher,François Chavant,Amélie Daveluy,Hélène Donadieu-Rigole,Hélène Peyrière,et le réseau des centres français d’addictovigilance +9 more
TL;DR: Prescribers should be aware of this interaction, as the alcoholic comorbidity is common in patients under OMT, and Vigilance is also needed for nalmefene in combination with other opioid analgesics or antitussives.
Journal ArticleDOI
Dynamics of Serum Potassium Change during Acute Respiratory Alkalosis
M. G. Sanchez,D. C. Finlayson +1 more
TL;DR: In summary, one should be aware that hyperventilation and hypokalaemia occur frequently in the operating room under ordinary clinical conditions and should cause consideration of more aggressive attempts to maintain normocarbia and to use supplemental potassium during anaesthesia, particularly in patients with cardiac disease.
Journal ArticleDOI
Care for Incarcerated Pregnant People With Opioid Use Disorder: Equity and Justice Implications.
TL;DR: Recommendations for improving care for incarcerated pregnant people with OUD are offered, including issues of justice and equity, considerations regarding the legal and ethical obligations of the provision of health care, and violations of the medical and legal rights of incarcerated people.
Journal ArticleDOI
Opioid substitution therapy or hidden opioids are a minefield for nalmefene: an atypical case series of 11 patients in Lorraine.
Melissa Yelehe-Okouma,Hervé Martini,Jérémie Lemarié,Pierre Labroca,Nadine Petitpain,Valérie Gibaja,François Paille,Pierre Gillet +7 more
TL;DR: Healthcare professionals need to be vigilant about any type of opioid exposure, even masked or hidden, to avoid these potential life‐threatening syndromes.
Journal ArticleDOI
Managing Subarachnoid Hemorrhage Precipitated by Anesthesia-assisted Rapid Opioid Detoxification: A Case Report
TL;DR: A case report and discussion reviews the pathophysiology of opioid withdrawal syndrome, potential complications following AAROD, and important management considerations.
References
More filters
Journal ArticleDOI
Clinical and epidemiologic features of primary HIV infection.
TL;DR: The events leading to the acquisition of HIV and the initial clinical and diagnostic evaluation of 46 patients with primary HIV infection are summarized.
Journal ArticleDOI
Management of drug and alcohol withdrawal.
TL;DR: This review summarizes the current approaches to the management of withdrawal in patients addicted to sedatives such as alcohol or benzodiazepines, opioids, or stimulants such as amphetamines or cocaine.
Journal ArticleDOI
Management of Opioid Analgesic Overdose
TL;DR: The rate of opioid analgesic overdose is proportional to the number of opioid prescriptions and the dose prescribed and this review considers the epidemiology, mechanisms, and management of opioids overdose.
Journal ArticleDOI
Drug-induced long QT syndrome in injection drug users receiving methadone: High frequency in hospitalized patients and risk factors
Georg Ehret,Cathy Voide,Marianne Gex-Fabry,Jocelyne Chabert,Dipen Shah,Barbara Broers,Valérie Piguet,Thierry Musset,Jean-Michel Gaspoz,Arnaud Perrier,Pierre Dayer,Jules Alexandre Desmeules +11 more
TL;DR: QT interval prolongation in methadone maintenance patients hospitalized in a tertiary care center is a frequent finding.