Ventricular tachycardia after naloxone administration in an adolescent - 29/10/21

Doi : 10.1016/j.ajem.2021.05.083

Catherine E. Naber, MD ^a,^b,^{^{1
These authors contributed equally to this work.}}, Nonyerem O. Acholonu, MD ^b,^{^{1
These authors contributed equally to this work.}}, Neil D. Fernandes, MD ^a,^b, Brian P. Sanders, MD ^b,^d, Lauren Sweetser, MD ^a,^b, Michael R. Flaherty, DO ^a,^b, Manuella Lahoud-Rahme, MD ^a,^b,^c, Phoebe H. Yager, MD ^a,^b,^{^⁎}
^a Division of Pediatric Critical Care Medicine, Department of Pediatrics, Massachusetts General Hospital for Children, Harvard Medical School, 175 Cambridge Street, 5^th Floor, Boston, MA 02114, United States
^b Department of Pediatrics, Massachusetts General Hospital for Children, Harvard Medical School, 175 Cambridge Street, 5^th Floor, Boston, MA 02114, United States
^c Division of Pediatric Cardiology, Department of Pediatrics, Massachusetts General Hospital for Children, Harvard Medical School, 175 Cambridge Street, 5^th Floor, Boston, MA 02114, United States
^d Department of Pediatric Emergency Medicine, Department of Pediatrics, Massachusetts General for Children at North Shore Medical Center, 57 Highland Avenue, Salem, MA 01970, United States

^⁎Corresponding author at: Division of Pediatric Critical Care Medicine, Department of Pediatrics, Massachusetts General Hospital, 175 Cambridge Street, 5^th Floor, Boston, MA 02114, United States.Division of Pediatric Critical Care MedicineDepartment of PediatricsMassachusetts General Hospital175 Cambridge Street, 5^th FloorBostonMA02114United States

Abstract

Naloxone is a medication with a largely benign safety profile that is frequently administered in the emergency department to patients presenting with altered mental status. Ventricular tachycardia has been reported after naloxone administration in adult patients with prior use of opiate or sympathomimetic medications. However, no such reports exist in the pediatric population or in patients who have no known history of opiate or sympathomimetic medication use. We describe a case of ventricular tachycardia after naloxone administration in a 17-year-old male with no known prior use of opiate or sympathomimetic agents who presented to the emergency department with altered mental status of unknown etiology. Emergency physicians may wish to prepare for prompt treatment of ventricular arrythmias when administering naloxone to pediatric patients presenting with altered mental status.

Le texte complet de cet article est disponible en PDF.

Keywords : Ventricular tachycardia, Pediatrics, Naloxone

Plan

Export

Vol 49

P. 300-301 - novembre 2021 Retour au numéro

Article précédent

Thrombosis of external iliac and common femoral arteries secondary to blunt trauma due to handlebar injury
Batool Hussain, Theresa M. Sitto, Usha Sethuraman

| Article suivant

Unilateral angioedema
Jennifer E. Lee, Sean M. Bryant

Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.

Déjà abonné à cette revue ?

connectez-vous ou créez un compte

Ventricular tachycardia after naloxone administration in an adolescent - 29/10/21

Abstract

Plan

Export citations

Fichier

Contenu

Accès rapides

Mon compte

Aide & support

Plateformes Elsevier Masson

Déclaration CNIL