Abstract:Rationale:Anesthesiologists have a well-known increased risk of substance abuse. High-concentration of inhalation anesthetics in exhaled air of operating room personnel is detected. such secondhand exposure produces neurobiological sensitization to the reinforcing effects of inhalation anesthetics.Patient concerns:An addictive young male anesthesiologist who was long-term abuse with sevoflurane after 4 years occupational exposure. A 28-year-old anesthesiologist on duty was found deeply sleep in the locker room… Show more
“…Inhalational anesthetics have been reported to account for 2% of drug abuse among anesthesiologists in the United States and 5% in Australia and New Zealand [ 7 , 29 ]. Though inhalational anesthetics were not generally regarded as addictive drugs in the past, recently, more and more reports have shown that they also have abuse potential [ 30 , 31 ]. In a survey of inhalational anesthetic abuse in anesthesia training programs, nitrous oxide (N 2 O), isoflurane, sevoflurane, halothane, and desflurane accounts for 47%, 24%, 19%, 19%, and 9.5%, respectively.…”
Section: The Current Situation Of Non-opioid Anesthetics Addictionmentioning
Drug addiction is one of the major worldwide health problems, which will have serious adverse consequences on human health and significantly burden the social economy and public health. Drug abuse is more common in anesthesiologists than in the general population because of their easier access to controlled substances. Although opioids have been generally considered the most commonly abused drugs among anesthesiologists and nurse anesthetists, the abuse of non-opioid anesthetics has been increasingly severe in recent years. The purpose of this review is to provide an overview of the clinical situation and potential molecular mechanisms of non-opioid anesthetics addiction. This review incorporates the clinical and biomolecular evidence supporting the abuse potential of non-opioid anesthetics and the foreseeable mechanism causing the non-opioid anesthetics addiction phenotypes, promoting a better understanding of its pathogenesis and helping to find effective preventive and curative strategies.
“…Inhalational anesthetics have been reported to account for 2% of drug abuse among anesthesiologists in the United States and 5% in Australia and New Zealand [ 7 , 29 ]. Though inhalational anesthetics were not generally regarded as addictive drugs in the past, recently, more and more reports have shown that they also have abuse potential [ 30 , 31 ]. In a survey of inhalational anesthetic abuse in anesthesia training programs, nitrous oxide (N 2 O), isoflurane, sevoflurane, halothane, and desflurane accounts for 47%, 24%, 19%, 19%, and 9.5%, respectively.…”
Section: The Current Situation Of Non-opioid Anesthetics Addictionmentioning
Drug addiction is one of the major worldwide health problems, which will have serious adverse consequences on human health and significantly burden the social economy and public health. Drug abuse is more common in anesthesiologists than in the general population because of their easier access to controlled substances. Although opioids have been generally considered the most commonly abused drugs among anesthesiologists and nurse anesthetists, the abuse of non-opioid anesthetics has been increasingly severe in recent years. The purpose of this review is to provide an overview of the clinical situation and potential molecular mechanisms of non-opioid anesthetics addiction. This review incorporates the clinical and biomolecular evidence supporting the abuse potential of non-opioid anesthetics and the foreseeable mechanism causing the non-opioid anesthetics addiction phenotypes, promoting a better understanding of its pathogenesis and helping to find effective preventive and curative strategies.
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