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麻醉辅助快速阿片类药物脱毒引发蛛网膜下腔出血的处理:一例报告

Managing Subarachnoid Hemorrhage Precipitated by Anesthesia-assisted Rapid Opioid Detoxification: A Case Report.

作者信息

Sobin Michael F, Ngo Liem, Lawrence Danielle Turner, Kirwen Abigail

机构信息

Beaumont Health-Royal Oak, Department of Emergency Medicine, Royal Oak, Michigan.

出版信息

Clin Pract Cases Emerg Med. 2022 Feb;6(1):25-28. doi: 10.5811/cpcem.2021.9.53868.

Abstract

INTRODUCTION

Anesthesia-assisted rapid opioid detoxification (AAROD) is a controversial method of treating opioid dependence that involves sedating patients during a period of provoked withdrawal. Reported adverse outcomes of the procedure demonstrate the importance of recognizing the potential complications of AAROD.

CASE PRESENTATION

We present a case of a 41-year-old male presenting with a subarachnoid hemorrhage following an AAROD procedure.

CONCLUSION

This case report and discussion reviews the pathophysiology of opioid withdrawal syndrome, potential complications following AAROD, and important management considerations.

摘要

引言

麻醉辅助下快速阿片类药物脱毒(AAROD)是一种治疗阿片类药物依赖的有争议的方法,该方法包括在诱发戒断期间使患者镇静。该 procedure 的不良后果报告表明认识到 AAROD 潜在并发症的重要性。

病例报告

我们报告一例 41 岁男性在 AAROD procedure 后出现蛛网膜下腔出血的病例。

结论

本病例报告及讨论回顾了阿片类药物戒断综合征的病理生理学、AAROD 后的潜在并发症以及重要的管理注意事项。

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本文引用的文献

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Cochrane Database Syst Rev. 2017 May 29;5(5):CD002021. doi: 10.1002/14651858.CD002021.pub4.
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N Engl J Med. 2016 Oct 20;375(16):1596-1597. doi: 10.1056/NEJMc1610830.
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Yes, people can die from opiate withdrawal.
Addiction. 2017 Feb;112(2):199-200. doi: 10.1111/add.13512. Epub 2016 Aug 11.
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Opiate withdrawal complicated by tetany and cardiac arrest.
Case Rep Crit Care. 2014;2014:295401. doi: 10.1155/2014/295401. Epub 2014 Jun 15.

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