Successful management of drug-induced hypercapnic acidosis with naloxone and noninvasive positive pressure ventilation

Highlights • Many patients with chronic medical problems receive opiods for pain management. • Life-threatening opioid overdose is traditionally managed with invasive mechanical ventilation. • Noninvasive ventilation is an acceptable alternative even for severe cases of drug-induced respiratory depr...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of emergency medicine 2015-02, Vol.33 (2), p.312.e3-312.e4
Main Authors: Agrafiotis, Michalis, MD, Tryfon, Stavros, MD, PhD, Siopi, Demetra, MD, Chassapidou, Georgia, MD, Galanou, Artemis, MD, Tsara, Venetia, MD, PhD
Format: Article
Language:English
Subjects:
Acidosis - chemically induced
Acidosis - drug therapy
Acidosis - therapy
Aged
Analgesics, Opioid - adverse effects
Coma
Combined Modality Therapy
Consciousness
Drug dosages
Emergency
Emergency medical care
Fentanyl - adverse effects
Humans
Hypercapnia - chemically induced
Hypercapnia - drug therapy
Hypercapnia - therapy
Intubation
Male
Naloxone - therapeutic use
Narcotic Antagonists - therapeutic use
Pain
Positive-Pressure Respiration
Respiratory therapy
Tramadol - adverse effects
Ventilation
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Highlights • Many patients with chronic medical problems receive opiods for pain management. • Life-threatening opioid overdose is traditionally managed with invasive mechanical ventilation. • Noninvasive ventilation is an acceptable alternative even for severe cases of drug-induced respiratory depression. • Noninvasive ventilation should be particularly considered for frail patients.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2014.08.006