Anesthesiology and Addiction

Farley, William J.; Talbott, G. Douglas

doi:10.1213/00000539-198305000-00001

Cited by 31 publications

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“…Among the medications used at work and consumed by the professional, the most commonly used were anxiolytics. Of major concern to the field, the powerfully addictive drugs such as opioids were mentioned, as well as inhaled anesthetics 26,27 .…”

Section: Discussionmentioning

confidence: 99%

Perfil epidemiológico e ocupacional dos anestesiologistas inseridos no mercado de trabalho de Belo Horizonte, Minas Gerais, em 2010

Neves

Pinheiro

2012

Rev. Bras. Anestesiol.

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Summary: Neves BS, Pinheiro TMM -Epidemiological and Occupational Profile of Anesthesiologists Practicing in Belo Horizonte, Minas Gerais -Brazil, in 2010.Background and objectives: Exposed to many occupational risk factors, the anesthesiologist should know how to experience situations related to work and everyday life, so that illness is not part of his reality. Knowledge of work through the worker himself is one way to look deeper into the universe surrounding health professionals in order to seek effective solutions that increase satisfaction and minimize damage. The objective of this paper was to outline an epidemiological and occupational profile of the anesthesiologist in Belo Horizonte, Minas Gerais.Methods: Quantitative, cross-sectional randomized study conducted among members of the Society of Anesthesiology of Minas Gerais. Data collected through a questionnaire, including the CAGE, for evaluation of alcoholism and Self-Report Questionnaire (SRQ-20) to evaluate the prevalence of common mental disorders (CMD).Results: There was predominance of male (62.4%) working on-call schedule (91.1%), both day and at night. The average number of night shifts was 5.4% in the last 30 days. Most of them (88.3%) working in emergency departments. Most professionals reported being very tired and overloaded or very overloaded, but satisfied with the work. There was statistical association between CAGE positive and work overload and between CAGE and SRQ-20. Conclusions:The population studied indicates that the anesthesiologist is a professional rather overloaded, which corroborates trends seen in the medical field. Major attention should be given to these professionals who live surrounded by harmful occupational hazards.

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Section: Discussionmentioning

confidence: 99%

Perfil epidemiológico e ocupacional dos anestesiologistas inseridos no mercado de trabalho de Belo Horizonte, Minas Gerais, em 2010

Neves

Pinheiro

2012

Rev. Bras. Anestesiol.

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“…Farley and Talbott [29] list some of these elements, including long work hours, extended intervals of being alone creating feelings of isolation, and personal belief in the ''chemical solution'' (which may have played a role in the individual choosing the specialty). Health care providers are often drawn to anesthesia in part by interest in pharmacology, and the clinical observation that there are drugs to adjust almost every human parameter.…”

Section: Why Does Addiction Plague Those Who Practice Anesthesia?mentioning

confidence: 99%

“…Before 1980, the most common drugs diverted for selfmedication were meperidine, diazepam, and barbiturates [30,31]. After 1980, the vast majority of chemical dependency in anesthesia providers has involved drugs in the fentanyl family [5,7,12,29]. At a much lower incidence, there are reports of diversion and self-medication with other substances, including nitrous oxide [32], ketamine [33], midazolam [12] and potent inhalation agents [34].…”

Section: The Chemical Profilementioning

confidence: 99%

“…The combination of familiarity and skill with administration lead to what Farley and Talbott [29] called the ''fallacy of control.'' The individual under stress identifies a chemical solution (self-medication), and the learned skill with the use of the substance possessed by the provider leads them to the false conclusion that they can control the consequences of selfmedication.…”

Section: The Chemical Profilementioning

confidence: 99%

“…At present the level of awareness of the inevitable consequences of fentanyl addiction are widely known, and most individuals reveal in rehabilitation that they were well aware of the deadly consequences. However, self-reporting is unusual and, in fact, coma, suicide, and accidental death are more common than self-reporting [29]. The most common trigger for detection is observed abnormal behavior, which triggers an audit, confirming diversion.…”

Section: How Does Chemical Dependency In Anesthesia Providers Reveal mentioning

confidence: 99%

See 2 more Smart Citations

Drug Diversion, Chemical Dependence, and Anesthesiology

Tetzlaff

2011

Advances in Anesthesia

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Narcotics Control in Anesthesia Training

Adler¹

1985

JAMA

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Recent studies document that substance abuse is a significant problem among anesthesia personnel. We have developed a system to better control the accountability of narcotics and other potentially addictive drugs. The system consists of a three-phase approach: (1) an individual anesthesia cart/narcotics box; (2) computer analysis of drug usage; and (3) an anesthesia drug audit. A standard stock issue of drugs is maintained by each resident. Drugs are issued daily to those residents administering anesthesia. Each drug transaction is recorded by the resident according to the patient's name, hospital number, type and length of the surgical procedure, type and amount of drug used, and the amount of each drug discarded. A weekly computer-generated report shows individual usage trends for each drug and a summary of "high" users for that period. The computer does not "flag" an individual as a drug abuser, but monitors trends in controlled substance usage. Those residents having a significant alteration in their drug usage pattern that is not explained legitimately are comprehensively audited.

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Anesthesiology and Addiction

Cited by 31 publications

References 0 publications

Perfil epidemiológico e ocupacional dos anestesiologistas inseridos no mercado de trabalho de Belo Horizonte, Minas Gerais, em 2010

Perfil epidemiológico e ocupacional dos anestesiologistas inseridos no mercado de trabalho de Belo Horizonte, Minas Gerais, em 2010

Drug Diversion, Chemical Dependence, and Anesthesiology

Narcotics Control in Anesthesia Training

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