ACMT position Statement: Interim guidelines for the use of lipid resuscitation therapy
Landmark Article?:
No
Journal Name:
J Toxicol Clin Toxicol
Year Published:
2011
Article Keywords:
lipid, toxicology; guidelines
Article Brief Summary:
Some brief guidelines on the proper use of lipid therapy:
1.5 ml/kg of 20% lipid emulsion IV over 2-3 min ( a litte bit slower than previous recs)
can repeat bolus in asystole and in those who initially improve but deteriorate later after being placed on infusion
0.25mg/kg/min infusion, can incraese if pt starts getting worse
should terminate after 1 hour unless pt still unstable
max dose not see in these guidelines but have seen it before: 8 mg/kg
Drugs where there is evidence/cases where this works: CCB, BB, bupropion, quetiapine, lamotrigine, sertraline, TCAD, diphenhydramine, and, of course, the local anesthetics.
Call tox!!!
