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Podcast: Anesthesia Patient Safety Podcast
Episode: #291 Managing Anesthesia Risks for Patients with Acute and Chronic Cocaine Use
Description: A cocaine-positive patient rolls into the OR and the monitors look fine—until twenty minutes after induction, when the blood pressure plummets. We unpack that swing from sympathetic surge to sudden crash through two real cases: an emergent trauma laparotomy complicated by asystole and a chronic intranasal user with profound hypotension that only responded to direct-acting vasopressors. From there, we connect the dots to the pharmacology that makes these events predictable and, with the right plan, manageable.We talk candidly about what matters before wheels-in: timing of last use, objective signs of toxicity, and targeted testing. You’ll h...