Sunday, June 12, 2011

intralipid/ lipid rescue

use in LA toxicity with cardiac arrest especially bupivacaine (CC:CNS ratio?)
functions as a 'lipid sink' for lipophilic agents


resus according to BCLS protocols-lipid rescue-post op icu monitoring

Contents:
Purified soybean oil 200 g
Purified egg phospholipids 12 g
Glycerol anhydrous 22 g
Water for injection q.s. ad 1000 mL
pH is adjusted with sodium hydroxide to approximately pH 8.
Energy content/L: 8.4 MJ (2 000 kcal).
Osmolality (approx.): 350 mOsm/kg water. 500ml bottle: first 100ml over 15 min then 400ml over

protocol:.5ml/kg as initial bolus, then 0.25ml/kg/min for 30-60 mins
In actual resuscitation for a 70kg person: 100ml as bolus then 400ml over the next 15mins

http://www.lipidrescue.org/

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