Intravenous fat emulsion as an antidote to the veterinary practice Part 1: a literature review

Marieke A. Dijkman*, Nieke Van Rhijn, Irma De Vries, Jan Meulenbelt, Joris H. Robben

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

The use of intravenous lipid emulsions (ILE) in human clinical toxicology has become a common practice as life-saving treatment for cardiotoxicity after local anesthetics overdose. The mechanism behind this 'antidotal' effect has not yet been fully elucidated. Case reports indicate ILE may be useful in the resuscitation from toxicity induced by a variety of other lipophilic cardiotoxic drugs like various tricyclic antidepressants (TCA), lipofilic beta-blockers and calcium channel blockers. Several veterinary case reports and case series have demonstrated that ILE are primarily used in the management of long-lasting neurotoxicity like permethrin toxicosis in cats and ivermectin toxicosis in dogs. Treatment with ILE can result in a faster recovery leading to shorter admission times in the veterinary practice. An overview of the current knowledge concerning the use of ILE will be given here.

Original languageEnglish
Pages (from-to)24-28
Number of pages5
JournalTijdschrift voor Diergeneeskunde
Volume140
Issue number5
Publication statusPublished - 1 May 2015

Keywords

  • intravenous lipid emulsion (ILE)
  • lipophilic drug intoxications
  • poisoning
  • cardiotoxicity
  • neurotoxicity

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