Lots new to talk about.

First, I would say that the panel of Translational Research in Regional Anesthesia at ASA was very well received.

Then something quite amazing occured in SF. One day, within about 15 minutes I heard of two lipid saves from cardiac arrest, both involving non-LA drugs. First was a Flexiril overdose; this is a highly lipophilic drug with a pD >> bupivacaine. The next was a sentinel caase in that it was a cardiac arrest of unknown etiology, but suspected overdose (young psychiatric patient). The medical examiner has the case, so we don't know the results of the tox screen yet. Both cases rapidly regained normal vital signs. The first was a witnessed arrest in-house and did very well. The other had been down at the scene for a long time and did not recover consciousness, but was made a donor.

Two more amazing cases in the last week: both that you can read about at the "Post your cases" page. The haloperidol-related arrest: quick recovery with lipid, extubated doing well. Next, a puppy with an ivermectin overdose...this is neither a sodium channel blocker nor an I_kr blocker, so that says alot about the general applicability of LipidRescue.

Finally, I would like to personally thank Dr. John Rowlingson, one of my mentors at UVa, for the very thoughtful and positive review of LipidRescue in this month's ASA Newsletter.

More later,

Guy