Saasouh Wael, Nikam Anuja, Hachwa Bachar
Anesthesiology, Detroit Medical Center, NorthStar Anesthesia, Detroit, USA.
Medicine, Michigan State University, Detroit, USA.
Cureus. 2021 Oct 30;13(10):e19146. doi: 10.7759/cureus.19146. eCollection 2021 Oct.
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.
术前出现有症状的可卡因中毒是一种潜在的危及生命的情况，尤其是在急诊手术前。麻醉医生面临两难境地，即患者被认为进行全身麻醉诱导不安全，但又需要立即进行手术干预。可卡因是一种局部麻醉剂，因此有人提出它会像其他局部麻醉剂一样对脂质乳剂治疗产生反应。我们报告一例支持这一观点的病例，并回顾该主题的相关已发表文献。
