Is there an indication for tubing each and every overdose patients ( BDZ and opiates mostly) even if sats and ABGs are ok because of risk of aspiration?
If their GCS is low enough (8 or less), then yes.Is there an indication for tubing each and every overdose patients ( BDZ and opiates mostly) even if sats and ABGs are ok because of risk of aspiration?
If their GCS is low enough (8 or less), then yes.
Flumazenil is a dangerous drug for overdose reversal in benzo overdoses IMHO.
Is there an indication for tubing each and every overdose patients ( BDZ and opiates mostly) even if sats and ABGs are ok because of risk of aspiration?
Alcohol intoxication is simply an overdose of a fermented sedative hypnotic. Would you intubate the same patient if you knew they were just drunk instead of benzo intoxicated? How about the other way around?
Also, did u noticed that narcan can cause agitation if co existing cocaine use is present.
Yes, I do. If the alcohol intoxication cannot protect his airway, then he gets intubated until he awakens enough to protect his airway.
I've intubated alcoholic patients only to extubate them 5 hours later.
Having seen one alcoholic die from aspiration, I would rather intubate a 19 year old drunk kid than allow him to aspirate and die.
Generally I reverse opioid overdoses, but benzo overdoses I will tube and allow them to wake up on their own. Flumazenil is a dangerous drug for overdose reversal in benzo overdoses IMHO.
Couldn't agree more. Most toxicologists I've talked to say 'don't use it.'