Early use of naloxone in shock - A clinical trial

Chaim Putterman, Pinchas Halpern, Yigal Leykin, Patrick Sorkine, Eran Geller, Simon Bursztein

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Naloxone hydrochloride (N) 0.4-1.2 mg i.v. was administered during 10 episodes of shock (8 septic and 2 cardiogenic) in 9 adult patients. Shock was defined as systolic blood pressure (SBP) ≤90 mmHg and urine output <0.5 ml/h and signs and symptoms of hypoperfusion lasting for >-30 min, despite fluid loading to a CVP 5 cmH2O above baseline. N was given as early as 30 min after onset of shock and resulted in an increase of SBP from a mean of 75 ± 10 to a mean of 130 ± 25 mmHg maximum (P < 0.01). Within 10-60 min urine output increased from 16 ± 12 to 122 ± 56 ml/h, heart rate, CVP and arterial blood gas tensions remained unchanged. No side effects were observed. Naloxone, even in small doses, may improve hemodynamic parameters in human shock, provided it is administered very early.

Original languageEnglish (US)
Pages (from-to)185-190
Number of pages6
JournalResuscitation
Volume13
Issue number3
DOIs
StatePublished - Apr 1986
Externally publishedYes

Keywords

  • Naloxone
  • Shock

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency
  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Putterman, C., Halpern, P., Leykin, Y., Sorkine, P., Geller, E., & Bursztein, S. (1986). Early use of naloxone in shock - A clinical trial. Resuscitation, 13(3), 185-190. https://doi.org/10.1016/0300-9572(86)90100-0