Anesthetic implications of acute methylenedioxymethamphetamine intoxication in a patient with traumatic intracerebral hemorrhage.

Abstract

The use of the street drug methylenedioxymethamphetamine (MDMA), commonly referred to as ecstasy, has become increasingly prevalent amongst teenagers and young adults in the United States and many other parts of the world. While most anesthesiologists are facile with the intricacies of managing patients intoxicated by alcohol, cocaine and narcotics the new "club" drugs present a challenge, especially under emergency conditions. MDMA, in particular, is the most commonly abused club drug and potentially one of the most dangerous in the perioperative period. We present a case report of traumatic subarachnoid hemorrhage in a patient with acute MDMA intoxication and a review of the anesthetic implications.

• Authors: Samuel DeMaria Jr, Ethan O Bryson, Elizabeth A M Frost
• Journal: Middle East journal of anaesthesiology (Middle East J Anaesthesiol) Vol. 20 Issue 2 Pg. 281-4 (Jun 2009) ISSN: 0544-0440 [Print] Lebanon
• PMID: 19583079 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anesthetics
• Hallucinogens
• N-Methyl-3,4-methylenedioxyamphetamine

Topics

• Accidents, Traffic
• Anesthesia (methods)
• Anesthetics (administration & dosage)
• Cerebral Hemorrhage, Traumatic (etiology, surgery)
• Hallucinogens (poisoning)
• Humans
• Male
• N-Methyl-3,4-methylenedioxyamphetamine (poisoning)
• Young Adult