Dexmedetomidine Use in the Setting of Cocaine-Induced Hypertensive Emergency and Aortic Dissection : A Novel Indication
Joint Authors
Khan, Shahzeb Afsar
Javed, Fahad
Reddy, Kiran
Shoaib Akram, Muhammad
Benjo, Alexandre Miguel
Aziz, Emad F.
Nadkarni, Girish
Herzog, Eyal
Sabharwal, Manpreet Singh
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-09-26
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Aortic dissection is a potentially fatal but rare disease characterized by an aortic intimal tear with blood passing into the media creating a false lumen and with resultant high mortality depending on the location of dissection if not aggressively treated.
Cocaine users are known to have a higher incidence of aortic dissection.
We report here aortic dissection in a patient with cocaine abuse which did not respond to traditional medication regimes used currently in this setting.
Worth mentioning is the use of an alpha-2 receptor selective agonist named Dexmedetomidine as a treatment modality to control hypertension in this patient, which is approved only for sedation of intubated and mechanically ventilated patients in the intensive care settings and for sedation during invasive procedures.
This paper illustrates the practical beneficial role of Dexmedetomidine in controling blood pressure in the settings of cocaine-induced sympathetic surge when other treatment modalities fail.
American Psychological Association (APA)
Javed, Fahad& Benjo, Alexandre Miguel& Reddy, Kiran& Shoaib Akram, Muhammad& Khan, Shahzeb Afsar& Sabharwal, Manpreet Singh…[et al.]. 2011. Dexmedetomidine Use in the Setting of Cocaine-Induced Hypertensive Emergency and Aortic Dissection : A Novel Indication. Case Reports in Medicine،Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-451820
Modern Language Association (MLA)
Javed, Fahad…[et al.]. Dexmedetomidine Use in the Setting of Cocaine-Induced Hypertensive Emergency and Aortic Dissection : A Novel Indication. Case Reports in Medicine No. 2011 (2011), pp.1-4.
https://search.emarefa.net/detail/BIM-451820
American Medical Association (AMA)
Javed, Fahad& Benjo, Alexandre Miguel& Reddy, Kiran& Shoaib Akram, Muhammad& Khan, Shahzeb Afsar& Sabharwal, Manpreet Singh…[et al.]. Dexmedetomidine Use in the Setting of Cocaine-Induced Hypertensive Emergency and Aortic Dissection : A Novel Indication. Case Reports in Medicine. 2011. Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-451820
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-451820