Synthetic Cannabinoid, Bonzai, Intoxication via a Narghile

doi:10.15406/jaccoa.2016.04.00153

Journal of

eISSN: 2373-6437

Anesthesia & Critical Care: Open Access

Case Report Volume 4 Issue 4

Synthetic Cannabinoid, Bonzai, Intoxication via a Narghile

Ahmet Eroglu

Verify Captcha

Regret for the inconvenience: we are taking measures to prevent fraudulent form submissions by extractors and page crawlers. Please type the correct Captcha word to see email ID.

Karadeniz Technical University, Anesthesiology and Reanimation, Trabzon, Turkey

Correspondence: Ahmet Eroglu, Karadeniz Technical University, Anesthesiology and Reanimation, Trabzon, Turkey

Received: February 05, 2016 | Published: April 5, 2016

Citation: Eroglu A (2016) Synthetic Cannabinoid, Bonzai, Intoxication via a Narghile. J Anesth Crit Care Open Access 4(4): 00153. DOI: 10.15406/jaccoa.2016.04.00153

Download PDF

Abstract

Synthetic cannabinoids are becoming increasingly popular with adolescents as an abused drug in many countries. Synthetic cannabinoids, referred to as Bonzai in Turkey, are relatively new recreational drugs of abuse. The most common route of these drugs is smoking. In this case report, I firstly reported a synthetic cannabinoid, bonzai, intoxication that was occurred through water pipe, narghile, using.

Introduction

A hookah is also known as a water pipe, narghile, or by other names. It is a single or multi-stemmed instrument for vaporizing and smoking flavoured tobacco. Narghile is a type of smoking pipe used in eastern countries in which the smoke is filtered through a water pipe before reaching the inhaler pipe. In the Middle East and Arab world, people smoke water pipe as part of their culture and traditions. Health risks of smoking hookah include exposure to toxic chemicals that are not filtered out by the waterand risk of infectious disease when hookahs are shared.^1,2

Synthetic cannabinoids are becoming increasingly popular with adolescents as an abused drug in many countries. Synthetic cannabinoids, referred to as Bonzai in Turkey, are relatively new recreational drugs of abuse.³ The most common route of these drugs is smoking. In this case report, I firstly reported a synthetic cannabinoid, bonzai, intoxication that was occurred through water pipe, narghile, using.

Case report

A 25-year-old man was brought to emergency department by his friends after smoking tobacco and bonzai through a narghile in a café. When he was admitted by the emergency department, he had nausea and vomiting, and aspiration of gastric contain. He was unconscious and his Glasgow Coma score was reported as 8. His oxygen saturation was 78% on room air. Clinical examination and his chest x-ray revealed aspiration pneumonia. Because of his aspiration pneumonia and respiratory insufficiency, he was intubated and mechanical ventilation was started. And then he was transferred to the intensive care unit. Antibiotics, mechanical ventilation and other intensive care therapies were administered in the ıntensive care unit. On the third day, he had a normal blood gas analysis, sufficient spontaneous respiration, a better chest x-ray, and then intubation tube was removed and the weaning from the ventilation was successful. On the seventh day, he was discharged from the hospital with normal function.

To use a narghile to smoke synthetic cannabinoid is very interesting route. I would like to attract attention that synthetic cannabinoids, especially bonzai, are potentially harmful drugs of abuse, and can even cause lethal effects. Adolescents should be carefully while using narghile in a cafe. The written consent has been obtained from the patient.