Clinical studyA clinical study of an epidemic of heroin intoxication and heroin-induced pulmonary edema
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Cited by (107)
Cardiovascular Complications of Opioid Use: JACC State-of-the-Art Review
2021, Journal of the American College of CardiologyPulmonary Complications of Opioid Overdose Treated With Naloxone
2020, Annals of Emergency MedicineCitation Excerpt :In addition to pulmonary edema, aspiration is commonly encountered under these circumstances. In fact, aspiration events are among the most frequent complications of heroin overdose requiring ICU admission, with the potential to cause pneumonitis, pneumonia, or acute respiratory distress syndrome.9-11 Acute respiratory distress syndrome is the most severe complication and, as established by the Berlin Criteria, is defined as respiratory failure (Pao2/Fio2 ratio <300 while the patient is receiving assisted ventilation with >5 cm H2O of positive end expiratory pressure) occurring within 7 days of an inciting event because of pulmonary edema, with the respiratory failure not fully explained by heart failure or fluid overload.
ECMO used successfully in a near fatal case of opioid-induced acute respiratory distress syndrome
2018, American Journal of Emergency MedicineOpioid overdose: Clinical presentation and role of naloxone
2016, Bulletin de l'Academie Nationale de MedecineThe large spectrum of pulmonary complications following illicit drug use: Features and mechanisms
2013, Chemico-Biological InteractionsCitation Excerpt :Though not diagnostic, foam cone is a relatively common finding, typically occurring >3 h after the last opioid use [46]. Forensic studies suggested the exsudative origin of edema, due to reports of swollen, heavy lungs with variegated and hemorrhagic surfaces, siderophage infiltration, and the common association with alveolar hemorrhages and aspiration features [47,48]. In contrast to forensic studies, the existence of opiate-induced NCPE has been constantly debated in the literature and its possible mechanisms never adequately explained.
Opioids
2007, Haddad and Winchester's Clinical Management of Poisoning and Drug Overdose, Fourth Edition
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Present address: 120 Millburn Avenue, Millburn, New Jersey 07041.
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From the Department of Medicine, Montefiore-Morrisania Affiliation, Morrisania City Hospital, New York, New York.
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Present address: Department of Neurology, Albert Einstein College of Medicine, Eastchester Road and Morris Park Avenue, Bronx, New York 10461.