Preoperative Evaluation of the Patient with Substance Use Disorder and Perioperative Considerations
| Autor: | Debra D. Pulley |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Substance-Related Disorders media_common.quotation_subject Signs and symptoms Preoperative care Risk Assessment Perioperative Care 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Preoperative Care medicine Humans 030212 general & internal medicine Intensive care medicine media_common business.industry Addiction General Medicine Perioperative Pain management After discharge medicine.disease Substance abuse Anesthesiology and Pain Medicine Anesthesia Risk assessment business |
| Zdroj: | Anesthesiology clinics. 34(1) |
| ISSN: | 1932-2275 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|