i know this has been threaded back in 2007 on the anesthesia forum, but you ER guys should know about this. my brother, an anesthesiologist just told me about someone saved in his town from bupivacaine OD.
basically, bupivacaine OD (and others, perhaps) can be saved by infusing lipid emulsions. prior to this discovery, bupivicaine cardiac arrest was treated with cardiopulmonary bypass. now you just infuse lipid emulsion, eg, Interlipid.
this may work for other OD's also, like TCA, sertraline, CCB, BB, etc.
see www.lipidrescue.org for more info
any of you guys ever use this?
basically, bupivacaine OD (and others, perhaps) can be saved by infusing lipid emulsions. prior to this discovery, bupivicaine cardiac arrest was treated with cardiopulmonary bypass. now you just infuse lipid emulsion, eg, Interlipid.
this may work for other OD's also, like TCA, sertraline, CCB, BB, etc.
see www.lipidrescue.org for more info
any of you guys ever use this?