Literature DB >> 15243711

[gamma-Hydroxybutyrate intoxication].

N Hahne1, W Weinmann, B W Nebel.   

Abstract

The drug gamma-Hydroxybutyrate (GHB), also known as liquid ecstasy, has now reached Europe. Estimating the dosage of liquid GHB is especially difficult leading to unintentional intoxication because the exact concentration is not known. We repeatedly had to treat young patients intoxicated by GHB in our intensive care unit. We describe the course and treatment of three patients with GHB intoxication. If alcohol or mixed intoxication with drugs detected in traditional hospital toxicological assays has been excluded as the cause of unconsciousness in young patients from disco's, an intoxication with GHB should be considered. The therapy is mainly symptomatic and supportive but monitoring in an intensive care unit with the option of short term respirator therapy is necessary. Serum and urine samples taken on arrival should be conserved for further investigation in a forensic institute.

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Year:  2004        PMID: 15243711     DOI: 10.1007/s00101-004-0723-z

Source DB:  PubMed          Journal:  Anaesthesist        ISSN: 0003-2417            Impact factor:   1.041


  9 in total

1.  Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 30-2003. A 21-year-old man with sudden alteration of mental status.

Authors:  David N Tancredi; Michael W Shannon
Journal:  N Engl J Med       Date:  2003-09-25       Impact factor: 91.245

2.  Gamma-hydroxybutyrate overdose and coma: a case report.

Authors:  M S Moser; R A Purssell
Journal:  CJEM       Date:  2000-07       Impact factor: 2.410

Review 3.  Physostigmine as a treatment for gamma-hydroxybutyrate toxicity: a review.

Authors:  Stephen J Traub; Lewis S Nelson; Robert S Hoffman
Journal:  J Toxicol Clin Toxicol       Date:  2002

4.  gamma-Hydroxybutyrate: a health-food product producing coma and seizurelike activity.

Authors:  J E Dyer
Journal:  Am J Emerg Med       Date:  1991-07       Impact factor: 2.469

5.  Gamma-hydroxybutyrate overdose and physostigmine: teaching new tricks to an old drug?

Authors:  D G Caldicott; M Kuhn
Journal:  Ann Emerg Med       Date:  2001-01       Impact factor: 5.721

6.  Coma and respiratory depression following the ingestion of GHB and its precursors: three cases.

Authors:  M Ingels; C Rangan; J Bellezzo; R F Clark
Journal:  J Emerg Med       Date:  2000-07       Impact factor: 1.484

7.  Gamma-hydroxybutyrate withdrawal syndrome.

Authors:  J E Dyer; B Roth; B A Hyma
Journal:  Ann Emerg Med       Date:  2001-02       Impact factor: 5.721

8.  [A new drug reaches Switzerland: coma after intake of gamma-hydroxybutyrate (GHB)].

Authors:  P X Iten; A Oestreich; R Lips; M Brabetz
Journal:  Schweiz Med Wochenschr       Date:  2000-03-11

9.  A tale of novel intoxication: seven cases of gamma-hydroxybutyric acid overdose.

Authors:  J Li; S A Stokes; A Woeckener
Journal:  Ann Emerg Med       Date:  1998-06       Impact factor: 5.721

  9 in total
  1 in total

Review 1.  [Cholinesterase inhibitors. Importance in anaesthesia, intensive care medicine, emergency medicine and pain therapy].

Authors:  S Kleinschmidt; S Ziegeler; C Bauer
Journal:  Anaesthesist       Date:  2005-08       Impact factor: 1.041

  1 in total

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