[Safety and effectiveness of opiate antagonist detoxification under general anesthesia]

Juozas Ivaskevicius, Tomas Jovaisa, Giedrius Laurinenas, Saulius Vosylius, Jūrate Sipylaite, Robertas Badaras, Juozas Ivaskevicius, Tomas Jovaisa, Giedrius Laurinenas, Saulius Vosylius, Jūrate Sipylaite, Robertas Badaras

Abstract

Objective: To evaluate safety and effectiveness of opiate antagonist detoxification under general anesthesia according to available prospective and retrospective data.

Methods: We analyzed all detoxification cases that were performed in Vilnius University Emergency Hospital in the period of 2002-2005. Data of 65 patients from prospective, randomized, double-blind, placebo-controlled study and 21 retrospective cases were included in the study.

Results: Full opiate receptor blockade was achieved in 85 cases (98.84%). No complications related to detoxification procedure or general anesthesia were recorded. Differences in procedure protocols and possible implications for clinical practice are discussed.

Conclusions: The protocol of the prospective study may be recommended as a safe and effective detoxification method.

Source: PubMed

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