Acta Scientific Medical Sciences (ISSN: 2582-0931)

Mini Review Volume 4 Issue 2

Drug Addiction Among Anesthesia Providers

Vakhtang Shoshiashvili*

Anesthesiologist, Department of Anesthesiology and Intensive Care, Research Institute of Clinical Medicine, and Associate Professor, Faculty of Medicine, European University, Tbilisi, Georgia

*Corresponding Author: Vakhtang Shoshiashvili, Anesthesiologist, Department of Anesthesiology and Intensive Care, Research Institute of Clinical Medicine, and Associate Professor, Faculty of Medicine, European University, Tbilisi, Georgia.

Received: January 21, 2020; Published: January 29, 2020

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Abstract

  Substance abuse and addiction among anesthesiologists exists during whole history of this profession but is still purely understood. This issue is multifactorial and consists with professional and non-professional aspects. Addictive doctors must be treated in special centers in which the diagnosis, treatment and monitoring is based on careful individual attention. Professional rehabilitation is difficult because risk of relapse is high. Decision about the reentering of anesthesiologists in the workplace should be made on a case-by-case basis.

 

Keywords: Drug Addiction; Anesthesia Providers

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References

  1. Report of the Board of Trustees. Journal of the American Medical Association 162 (1956): 750.
  2. Bryson EO and Silverstein JH. “Addiction and substance abuse in anesthesiology”. Anesthesiology 109.5 (2008): 905-917.
  3. Oreskovich MR., et al. “Prevalence of alcohol use disorders among American surgeons”. The Archives of Surgery 147.2 (2012): 168-174.
  4. Oreskovich MR and Ryan MC. “Anesthesiologists recovering from chemical dependency: can they safely return to the operating room?” Mayo Clinic Proceedings 84.7 (2009): 576-580.
  5. Markel H. An Anatomy of Addiction: Sigmund Freud, William Halsted, and the Miracle Drug Cocaine Hardcover – Deckle Edge (2011).
  6. Paris RT and Canavan DI. “Physician substance abuse impairment: anesthesiologists vs. other specialties”. Journal of Addictive Diseases 18.1 (1999): 1-7.
  7. Gold MS., et al. “Fentanyl abuse and dependence: further evidence for second hand exposure hypothesis”. Journal of Addictive Diseases 25.1 (2006): 15-21. 
  8. McAuliffe PF., et al. “Second-hand exposure to aerosolized intravenous anesthetics propofol and fentanyl may cause sensitization and subsequent opiate addiction among anesthesiologists and surgeons”. Medical Hypotheses 66.5 (2006): 874-882.
  9. Booth JV., et al. “Substance abuse among physicians: a survey of academic anesthesiology programs”. Anesthesia and Analgesia 95 (2002): 1024-1030.
  10. Mayall RM. “Substance abuse in anaesthetists”. BJA Education 16.7 (2016): 236 -241.
  11. Jungerman FS., et al. “Anesthetic drug abuse by anesthesiologist”. Revista Brasileira de Anestesiologia 62.3 (2012).
  12. McLellan AT., et al. “Five year outcomes in a cohort study of physicians treated for substance use disorders in the United States”. British Medical Journal 337 (2008): a2038.
  13. Merlo LJ., et al. Substance use disorders in physicians:epidemiology, clinical manifestations, identification, and engagement UpToDate (2019).
  14. Alexander BH., et al. “Cause-specific mortality risks of anesthesiologists”. Anesthesiology 93.4 (2000): 922-930. 
  15. Henderson Gl. “Mechanism of drug incorporation into hair”. Forensic Science International 63 (1993): 19-29.
  16. Killeen TK., et al. “Effectiveness of naltrexone in a community treatment program”. Alcoholism: Clinical and Experimental Research 28 (2004): 1710-1717.
  17. Berge KH., et al. “The anesthesiology communitys approach to opioid- and anesthetic-abusing personnel: time to change course”. Anesthesiology 109.5 (2008): 762-764.
  18. Menk EJ., et al. “Success of reentry into anesthesiology training programs by residents with a history of substance abuse”. Journal of the American Medical Association 263.22 (1990): 3060-3062.
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Citation

Citation: Vakhtang Shoshiashvili. “Drug Addiction Among Anesthesia Providers". Acta Scientific Medical Sciences 4.2 (2020): 201-203.




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Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.403

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