Controlled drugs in peri-operative care

Chambers, Alastair; Secretary, Aagb Chairman. Honorary; Allan, Chrissie; Birks, R. J. S.; Collett, Beverly; Curran, John B.; Edwards, Chris; Fitzwilliams, B.; Kilvington, Bill; Rollin, Anna-Maria; Stannard, Cathy; Treasuer, Aagbi Honorary

doi:10.21466/g.cdipc.2006

Cited by 5 publications

(3 citation statements)

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“…medications with potential for abuse) [24], high-risk medications such as strong potassium solutions, and refrigerated items [25]. See Box 2 for further detailed suggestions.…”

Section: Practice Within the Operating Theatre Environmentmentioning

confidence: 99%

Handling injectable medications in anaesthesia

Kinsella,

Boaden,

El‐Ghazali

et al. 2023

Anaesthesia

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SummaryPeri‐operative medication safety is complex. Avoidance of medication errors is both system‐ and practitioner‐based, and many departments within the hospital contribute to safe and effective systems. For the individual anaesthetist, drawing up, labelling and then the correct administration of medications are key components in a patient's peri‐operative journey. These guidelines aim to provide pragmatic safety steps for the practitioner and other individuals within the operative environment, as well as short‐ to long‐term goals for development of a collaborative approach to reducing errors. The aim is that they will be used as a basis for instilling good practice.

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“…medications with potential for abuse) [24], high-risk medications such as strong potassium solutions, and refrigerated items [25]. See Box 2 for further detailed suggestions.…”

Section: Practice Within the Operating Theatre Environmentmentioning

confidence: 99%

Handling injectable medications in anaesthesia

Kinsella,

Boaden,

El‐Ghazali

et al. 2023

Anaesthesia

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“…The Welfare of Anaesthetists Special Interest Group of Australia and New Zealand College of Anaesthetists (now called the Well-being Special Interest Group) produced guidance in 2016 on substance abuse among anaesthetists [2]. Guidance published by the Association of Anaesthetists on controlled drugs in perioperative care [3]…”

Section: What Other Guidelines Are Available On This Topic?mentioning

confidence: 99%

Substance use disorder in the anaesthetist

et al. 2022

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Summary Anaesthetists have a higher incidence of substance use disorder when compared with other doctors. This might be due to the ease of access to intravenous opioids, propofol, midazolam, inhalational agents and other anaesthetic drugs. Alcohol use disorder continues to be the most common problem. Unfortunately, the first sign that something is amiss might be the anaesthetist's death from an accidental or deliberate overdose. While there are few accurate data, suicide is presumed to be the cause of death in approximately 6–10% of all anaesthetists. If we are to prevent this, substance use disorder must be recognised early, we should ensure the anaesthetist is supported by their department and hospital management and that the anaesthetist engages fully with treatment. Over 75% of anaesthetists return to full practice if they co‐operate fully with the required treatment and supervision.

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“…There are issues to be considered if remifentanil is to be diluted in a bag of fluid and then subsequently drawn into 50‐ml syringes for use in a syringe driver. First, remifentanil from one vial should not be administered to more than one patient [2]. Second, some summaries of product characteristics for remifentanil state that the product should be used immediately after dilution [3].…”

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confidence: 99%