Abstract
Study objective: To evaluate the intraoperative hemodynamics and medication requirements of cocaine-positive patients compared to matched cocaine-negative controls. Design: Retrospective cohort study. Setting: Public county hospital. Patients: 821 patients undergoing general anesthesia. Measurements: Incidence of hemodynamic events, defined by a mean arterial pressure of <65 mmHg or >105 mmHg or a heart rate of <50 beats per minute or >100 beats per minute. Main results: Cocaine-positive patients did not experience a higher incidence of hemodynamic events when compared with matched cocaine-negative patients. Cocaine-positive patients were not more likely to be administered vasopressors intraoperatively but did receive more anti-hypertensive agents. The minimum alveolar concentration of anesthetics used was similar between the two groups. Anesthesia duration, length of stay, and in-hospital mortality did not significantly differ between the two cohorts. Conclusions: Cocaine-positive patients did not demonstrate more intraoperative hemodynamic events or adverse short-term outcomes as compared to matched cocaine-negative controls.
Original language | English (US) |
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Pages (from-to) | 146-150 |
Number of pages | 5 |
Journal | Journal of Clinical Anesthesia |
Volume | 55 |
DOIs | |
State | Published - Aug 2019 |
Keywords
- Anesthesia
- Cocaine-related disorders
- Hemodynamics
- Intraoperative care
- Vasopressors
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine