Perioperative Addiction Clinical Management of the Addicted Patient
Perioperative Addiction addresses an issue that every anesthesiologist will encounter many times during the course of his or her career: the patient who arrives for operative care under the influence of legal or illegal drugs. The editors and
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Ethan O. Bryson
●
Elizabeth A.M. Frost
Editors
Perioperative Addiction Clinical Management of the Addicted Patient
Foreword by David L. Reich
Editors Ethan O. Bryson, MD Associate Professor Department of Anesthesiology Department of Psychiatry Mount Sinai School of Medicine New York, NY, USA
Elizabeth A.M. Frost, MBChB, DRCOG Professor Department of Anesthesiology Mount Sinai School of Medicine New York, NY, USA
ISBN 978-1-4614-0169-8 e-ISBN 978-1-4614-0170-4 DOI 10.1007/978-1-4614-0170-4 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2011939085 © Springer Science+Business Media, LLC 2012 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
For my wife, Amity; our son, Brady; and my mom, Linda. With your love and support anything is possible. –Ethan O. Bryson Dedicated to the nine men in my life – Garrett, Ross, Christopher, Neil, Christian, Adam, Ryan, Jack, and Ryder – and to the 5 women who manage them... Victoria, Tara, Kayla, Dawn and Laura. –Elizabeth A.M. Frost
Foreword
One of the greatest clinical challenges for any anesthesia trainee or practitioner is his/her first experience with a patient with a substance use disorder, whether it be acute, chronic, or iatrogenic. With the ready availability of drugs (over the counter, prescription, and illicitly obtained), complex pharmacology is already present prior to introducing anesthetic drugs. Tolerance and untoward drug interactions set the stage for unpredictable and adverse outcomes. It is extremely difficult for us to accept the fact that some of our colleagues may also have substance use disorder – a sometimes-fatal disease that harms patients and destroys lives and careers. We often respond with the classic Kübler-Ross grief cycle and then forget quickly when a colleague suddenly disappears to undergo inpatient treatment, is quietly dismissed, or worse still, is found dead. With few forums to discuss addic
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