Fulltext

ADDICTION AND ANAESTHESIA

Salam N Asfar --- Nawfal A Mobark --- Jasim M Salman

Basrah Journal of Surgery مجلة البصرة الجراحية
ISSN: 16833589 Year: 2005 Volume: 11 Issue: 1 Pages: 73-82
Publisher: Basrah University جامعة البصرة

Abstract

Significant numbers of patients are seen for surgery and anesthesia with a history of chronic substance abuse. However, little is known about how these substances influences anesthetic physiology and pharmacology.Abuse of substances may involve a socially acceptable drug (e.g., alcohol, tobacco), a medically prescribed drug (e.g., diazepam), or an illegal substance (e.g., cocaine). Knowledge of a patient�s substance abuse prior to administration of analgesia or anesthesia may prevent adverse drug interactions, predict tolerance to anesthetic agents, and/or facilitate the recognition of drug withdrawal.As the neurobehavioral effects of cocaine may increase the likelihood that a user will receive violent fatal injuries and is more prone to have emergency surgery, so we stressed here on this substance. Cocaine abuse is associated with multi-target organ involvement, including the cardiovascular, respiratory, neurologic, and hematological systems. Its use during pregnancy is also an independent contributor to the risk of placental abruption, preterm labor and stillbirth.

Keywords

ADDICTION AND ANAESTHESIA