Preoperative Evaluation of the Patient with Substance Use Disorder and Perioperative Considerations  

Oleh:

Pulley, Debra Domino

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Anesthesiology Clinics (keterangan: ada di ClinicalKey) vol. 34 no. 01 (Mar. 2016), page 201-211 .
Topik: Substance use Disorder; Preoperative Evaluation; Alcoholism; Preoperative Drug Testing; Cocaine; Chronic Opioid use; Addiction
Fulltext: A34 v34 n 1 p201 kelik2016.pdf (185.81KB)

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Perpustakaan FK Nomor Panggil: A34.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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The patient with a current or former history of substance use disorder can be challenging to adequately care for in the perioperative period. A thorough preoperative evaluation is essential. In addition to drug abuse screening, the evaluation should include an assessment of the effects of the substance abuse, associated diseases, end-organ damage, and an awareness of the potential perioperative risks so appropriate plans are developed to minimize the risks. Intraoperatively, anesthetic management needs to be appropriately modified. Signs and symptoms of withdrawal should be monitored for postoperatively. Pain management is particularly challenging. After discharge, this patient population is vulnerable and requires close follow-up and early referral to appropriate specialists when needed.

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