Broncoespasmo en relación con heroína inhalada

Patrón, M. Izquierdo; Martínez-Moratalla, Jesús; Valladeres, G. González

doi:10.4321/s0212-71992001000300017

Cited by 2 publications

(2 citation statements)

References 1 publication

(4 reference statements)

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“…53 Vasculitis is yet another variant of intravenous use complication. 128 Moreover, CTD phenomenology is routinely confined to the brain, while other routes of inhalation account for ischemic events at respiratory, [129][130][131][132][133][134] cardiac, 135 cerebral, 56-59 spinal, 136,137 and multiorgan levels. 138,139 In addition, oral, 140 intravenous, 44,141 or other non-CTD intranasal heroin intake modalities 44,142,143 may occasionally present as sporadic toxic leukoencephalopathy.…”

Section: Clinical Spectrummentioning

confidence: 99%

The Emerging Role of Inhaled Heroin in the Opioid Epidemic

et al. 2018

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IMPORTANCE Opioid addiction affects approximately 2.4 million Americans. Nearly 1 million individuals, including a growing subset of 21 000 minors, abuse heroin. Its annual cost within the United States amounts to $51 billion. Inhaled heroin use represents a global phenomenon and is approaching epidemic levels east of the Mississippi River as well as among urban youth. Chasing the dragon (CTD) by heating heroin and inhaling its fumes is particularly concerning, because this method of heroin usage has greater availability, greater ease of administration, and impressive intensity of subjective experience (high) compared with sniffing or snorting, although it also has a safer infectious profile compared with heroin injection. This is relevant owing to peculiar and often catastrophic brain complications. Following the American Medical Association Opioid Task Force mandate, we contribute a description of the pharmacology, pathophysiology, clinical spectrum, neuroimaging, and neuropathology of CTD leukoencephalopathy, as distinct from other heroin abuse modalities.OBSERVATIONS The unique spectrum of CTD-associated health outcomes includes an aggressive toxic leukoencephalopathy with pathognomonic neuropathologic features, along with sporadic instances of movement disorders and hydrocephalus. Clinical CTD severity is predominantly moderate at admission, frequently unmodified at discharge, and largely improved in the long term. Mild cases survive with minor sequelae, while moderate to severe presentations might deteriorate and progress to death. Other methods of heroin use may complicate with stroke, seizure, obstructive hydrocephalus, and (uncharacteristically) leukoencephalopathy. CONCLUSIONS AND RELEVANCEThe distinct pharmacology of CTD correlates with its specific clinical and radiological features and prompts grave concern for potential morbidity and long-term disability costs. Proposed diagnostic criteria and standardized reporting would ameliorate the limitations of CTD literature and facilitate patient selection for a coenzyme Q10 therapeutic trial.

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Section: Clinical Spectrummentioning

confidence: 99%

The Emerging Role of Inhaled Heroin in the Opioid Epidemic

et al. 2018

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“…El episodio asmático puede ser grave y requerir ventilación mecánica e, incluso, provocar la muerte. Las sustancias que adulteran la heroína y los vapores de aluminio que se desprenden al recalentarla provocan hiperreactividad bronquial 38 .…”

Section: Conclusionesunclassified

Complicaciones del uso de la heroína parenteral: artículo de revisión

Ocampo

Gómez

2017

MedUPB

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RESUMENRevisión narrativa que buscó recopilar informacion sobre complicaciones del uso de la heroína parenteral. Fueron captados artículos científicos, revisiones y casos clínicos en las bases de datos Scielo, Lilacs, Medline. La heroína es una sustancia psicoactiva y su uso tiene consecuencias adversas para la salud física y mental; las complicaciones físicas más frecuentes son infecciones por virus como el HIV, las hepatitis B y C, infecciones de piel, tuberculosis, embolias pulmonares y enfermedades renales. Otras complicaciones frecuentes son los trastornos mentales como depresión, trastornos de personalidad y el uso concomitante de otras sustancias, como el cannabis y la cocaína. Para el profesional de enfermería es importante conocer las complicaciones del uso de la heroína para planear procesos integrales y elaborar programas de reduccion de riesgos y daños derivados del uso de la sustancia. Palabras clave: heroína; abuso de sustancias por vía intravenosa; impactos en la salud. ABSTRACTThis literature review sought to collect information on complications of parenteral use of heroin. Scientific articles, reviews, and case reports were selected from Scielo, Lilacs, and Medline databases. Heroin is a psychoactive substance and its use has mental and physical health consequences; among the most common physical consequences are blood-borne infectious diseases such as HIV, hepatitis B and C, skin infections, tuberculosis, pulmonary embolism, and renal disease. Other frequent complications include mental disorders, such as depression, personality disorders, and the concomitant abuse of other substances, such as cannabis and cocaine. It is important for nurses to be aware of the complications of heroin use in order to plan comprehensive processes and develop nursing programs that reduce the risks and harm resulting from use of the substance. Keywords: heroin; substance abuse, intravenous; impacts on health. RESUMORevisão narrativa que buscou recopilar informação sobre complicações do uso da heroína parenteral. Foram captados artigos científicos, revisões e casos clínicos nas bases de dados Scielo, Lilacs, Medline. A heroína é uma substância psicoativa e seu uso tem consequências adversas para a saúde física e mental; as complicações físicas mais frequentes são infecções por vírus como o HIV, as hepatite B e C, infecções da pele, tuberculose, embolias pulmonares e doenças renais. Outras complicações frequentes são os transtornos mentais como depressão, transtornos de personalidade e o uso concomitante de outras substâncias, como a maconha e a cocaína. Para o profissional de enfermagem é importante conhecer as complicações do uso da heroína para planejar processos integrais e elaborar programas de redução de riscos e estragos derivados do uso da substância. Palavras chave: heroína; abuso de substâncias por via intravenosa; impactos na saúde.

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Broncoespasmo en relación con heroína inhalada

Cited by 2 publications

References 1 publication

The Emerging Role of Inhaled Heroin in the Opioid Epidemic

The Emerging Role of Inhaled Heroin in the Opioid Epidemic

Complicaciones del uso de la heroína parenteral: artículo de revisión

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