Naloxone
A 68yo s/p craniotomy is slow to wake and is found to have pinpoint pupils. He was receiving an infusion of fentanyl throughout the 10 hour case. He is not yet breathing.
References: (note, all residents should have access to Anesthesiology articles online if they receive the journal. Many other journals are available with a USF account through MD Consult...just access it from the departmental home page)
A 68yo s/p craniotomy is slow to wake and is found to have pinpoint pupils. He was receiving an infusion of fentanyl throughout the 10 hour case. He is not yet breathing.
- Are you going to reverse his narcosis with naloxone? What would be an appropriate dose?
- What are you other options, and what are their benefits over naloxone reversal?
- What are the unique adverse effects of naloxone use?
- What is naltrexone?
References: (note, all residents should have access to Anesthesiology articles online if they receive the journal. Many other journals are available with a USF account through MD Consult...just access it from the departmental home page)