Recent N survival study

[spanishguy22]

Hello, first sorry if there's a thread for this but I couldn't find N megathread. I wanted to share and discuss this very recent report about a man surviving ingestion of (implied not certain dose) 20 g of N. He called emergencies 10 min later and got treated 20 min after ingestion.

Deliberate Self-poisoning with a Lethal Dose of Pentobarbital with Confirmatory Serum Drug Concentrations: Survival After Cardiac Arrest with Supportive Care - PubMed

Average PB concentration in fatalities is reported around 30 mg/L. This patient survived higher serum concentrations with early CPR and prolonged cardiorespiratory support in the ICU. Assessment of brainstem death should be deferred until PB has been adequately eliminated.

www.ncbi.nlm.nih.gov

The last part worries me, can someone explain what they mean by this?
"Assessment of brainstem death should be deferred until PB has been adequately eliminated."
They mean brain damage, correct? Seems like they're still updating it.

 

[OnlyMercy]

The article clearly states that "He was extubated on day 10, eventually making a full recovery". This makes it clear that the individual fully recovered and suffered no brain damage.

The last sentence which you quote is simply implying that doctors should not prematurely declare patients as "brain dead" until PB (Pentobarbital) has been eliminated (removed) from the body.

 

[Mofreeko]

How was he still conscious after 10 minutes? My guess is he threw it up.

 

[Jenna]

Did anyone test the n that he took? Maybe a little left over powder they could test.

I wonder about the purity. It could have come from somewhere where the amount was very little just mixed in powder. He also was discovered very quickly.

 

[intr0naut]

The article clearly states that "He was extubated on day 10, eventually making a full recovery". This makes it clear that the individual fully recovered and suffered no brain damage.

The last sentence which you quote is simply implying that doctors should not prematurely declare patients as "brain dead" until PB (Pentobarbital) has been eliminated (removed) from the body.

I said this many times: there is no risk of brain damage as long as you're found while breathing. The problem is when you're found minutes after you've stopped breathing; ensuring you're not found too early is essential.

The last part worries me, can someone explain what they mean by this?
"Assessment of brainstem death should be deferred until PB has been adequately eliminated."
They mean brain damage, correct? Seems like they're still updating it.

In case of severe barbiturates overdose an electroencephalography may mimic brain death (is flat) so it's what @OnlyMercy said: they should not pronounce the brain death until they fully assess the patient and levels of the barbiturate.