Acute respiratory distress syndrome induced by oral methadone managed with non-invasive ventilation.
Non-cardiogenic pulmonary oedema is an uncommon complication of both methadone and heroin overdose, often requiring a period of invasive ventilation due to its severity. We report the successful, early use of non-invasive ventilation in the management of non-cardiogenic pulmonary oedema secondary to a non-fatal overdose of oral methadone.
Ridgway
Z A
ZA
Department of Anaesthesia, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK. zoe.tom@ntlworld.com
Pountney
A J
AJ
D000284:Administration, Oral; D045422:Continuous Positive Airway Pressure; D062787:Drug Overdose; D006801:Humans; D008297:Male; D008691:Methadone / Q000008:administration & dosage / Q000506:poisoning*; D008875:Middle Aged; D009270:Naloxone / Q000008:administration & dosage; D009292:Narcotic Antagonists / Q000008:administration & dosage; D009294:Narcotics / Q000008:administration & dosage / Q000506:poisoning*; D012128:Respiratory Distress Syndrome / Q000139:chemically induced* / Q000628:therapy*
D009292:Narcotic Antagonists; D009294:Narcotics; D009270:Naloxone; D008691:Methadone
J Clin Pathol. 2000 Apr;53(4):277-81
10823123
Drug Intell Clin Pharm. 1981 Dec;15(12):945-50
7338189
Radiology. 1974 Sep;112(3):567-8
4843287
J Intensive Care Med. 2004 Jul-Aug;19(4):183-93
15296619