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Atrial Fibrillation after Naloxone Administration: A Rare Complication of Opioid Reversal

Case Report

Atrial Fibrillation after Naloxone Administration: A Rare Complication of Opioid Reversal 


Maricel Dela Cruz1*, Jay Slutsky2, Megan Gillespie1 and Robert Danoff1

1Department of Family Medicine and Emergency Medicine Resident, Aria Jefferson Health, Pennsylvania, USA
2Department of Emergency Medicine Attending, Aria Jefferson Health, Pennsylvania, USA

*Corresponding author: Maricel Dela Cruz, Department of Family Medicine and Emergency Medicine Resident, Aria Jefferson Health, Pennsylvania, USA, Tel: +1 7073197829; Email: mariceldc@sbcglobal.net

Received: July 14, 2017; Accepted: September 22, 2017; Published: September 28, 2017

Abstract

Naloxone is a widely used antidote that is critical in reversing the lethal effects of central nervous system and respiratory depression after opioid overdose. Healthcare providers, as well as emergency first responders across the United States, are seeing a significant number of patients afflicted by the country-wide opioid epidemic, resulting in a dramatic increase in the use of this potentially life-saving treatment. That being said, it is important to be aware of the potential adverse effects Naloxone may have, including the triggering of acute opioid withdrawal. As an example of this concern, we present a 25-year-old male with no significant cardiac history who developed atrial fibrillation after the administration of naloxone by healthcare personnel for acute opioid overdose. This case emphasizes the importance of closely monitoring patients after naloxone administration for opioid overdose due to the possible effects of triggering acute opioid withdrawal.


Keywords

Atrial Fibrillation; Naloxone; Opioid; Opioid Withdrawal

Citation: Cruz MD, Slutsky J, Gillespie M, Danoff R (2017) Atrial Fibrillation after Naloxone Administration: A Rare Complication of Opioid Reversal. J Emerg Med Trauma Surg Care 1: 005.

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