Skip to main content
SpringerLink
Log in

Substance Abuse Recognition and Prevention Through Education

  • Chapter
  • First Online:
Comprehensive Guide to Education in Anesthesia

  • 1262 Accesses

Abstract

The specter of addiction still remains a major issue in the anesthesia workplace, and each year 1–2 % of anesthesia care providers (ACPs) become addicted to the anesthetic agents they are tasked with administering to patients, leading some to ask: “Is addiction an occupational hazard for those involved in the practice of anesthesiology?” It has been reported that between 10 and 15 % of all ACPs will abuse drugs or alcohol at some point in their career, and education regarding the identification and effective treatment of the drug-impaired ACP is an essential part of the effort to reduce these numbers.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Bryson EO, Silverstein JH. Addiction and substance abuse in anesthesiology. Anesthesiology. 2008;109(5):905–17.

    Article  PubMed  Google Scholar 

  2. Collins GB, McAllister MS, Jensen M, Gooden TA. Chemical dependency treatment outcomes of residents in anesthesiology: results of a survey. Anesth Analg. 2005;101:1457–62.

    Article  PubMed  Google Scholar 

  3. AMA Council on Mental Health. The sick physician: impairment by psychiatric disorders, including alcoholism and drug dependence. JAMA. 1973;223:684–7.

    Article  Google Scholar 

  4. Malison RT, Best SE, Wallace EA, McCance E, Laruelle M, Zoghbi SS, Baldwin RM, Seibyl JS, Hoffer PB, Price LH. Euphorigenic doses of cocaine reduce [123I]beta-CIT SPECT measures of dopamine transporter availability in human cocaine addicts. Psychopharmacology (Berl). 1995;122:358–62.

    Article  CAS  Google Scholar 

  5. Baldisseri MR. Impaired healthcare professional. Crit Care Med. 2007;35(2):S106–16.

    Article  PubMed  Google Scholar 

  6. Bell DM, McDonough JP, Ellison JS, Fitzhugh EC. Controlled drug misuse by Certified Registered Nurse Anesthetists. AANA J. 1999;67(2):133–40.

    PubMed  CAS  Google Scholar 

  7. Kintz P, Villain M, Dumestre V, Cirimele V. Evidence of addiction by anesthesiologists as documented by hair analysis. Forensic Sci Int. 2005;153:81–4.

    Article  PubMed  CAS  Google Scholar 

  8. Wischmeyer PE, Johnson BR, Wilson JE, Dingmann C, Bachman HM, Roller E, Tran ZV, Henthorn TK. A survey of propofol abuse in academic anesthesia programs. Anesth Analg. 2007;105:1066–71.

    Article  PubMed  CAS  Google Scholar 

  9. Alexander BH, Checkoway H, Nagahama SI, Domino KB. Cause-specific mortality risks of anesthesiologists. Anesthesiology. 2000;93:922–30.

    Article  PubMed  CAS  Google Scholar 

  10. Booth JV, Grossman D, Moore J, Lineberger C, Reynolds JD, Reves JG, Sheffield D. Substance abuse among physicians: a survey of academic anesthesiology programs. Anesth Analg. 2002;95:1024–30.

    PubMed  Google Scholar 

  11. Hankes L, Bissell L. Health professionals. In: Lowinson JH, Ruiz P, Millman RB, editors. Substance abuse: a comprehensive textbook. Baltimore: Williams and Wilkins; 1992. p. 897–908.

    Google Scholar 

  12. Shore JH. The Oregon experience with impaired physicians on probation, an eight-year follow-up. JAMA. 1987;257:2931–4.

    Article  PubMed  CAS  Google Scholar 

  13. Skipper GE. Anesthesiologists with substance use disorders: a 5-year outcome study from 16 state physician health programs. Anesth Analg. 2009;109(3):891–6.

    Article  PubMed  Google Scholar 

  14. Domino KB, Hornbein TF, Polissar NF, Renner G, Johnson J, Alberti S, Hankes L. Risk factors for relapse in health care professionals with substance use disorders. JAMA. 2005;293:1453–60.

    Article  PubMed  CAS  Google Scholar 

  15. Bryson EO, Hamza H. The drug seeking anesthesia provider. Int Anesthesiol Clin. 2011;49(1):157–71.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Anesthesiology and Psychiatry, The Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Plave, 1010, New York, NY, USA

    Ethan O. Bryson M.D.

Authors
  1. Ethan O. Bryson M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ethan O. Bryson M.D. .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology, Icahn Medical Center at Mount Sinai, New York, New York, USA

    Elizabeth A.M. Frost

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

Bryson, E.O. (2014). Substance Abuse Recognition and Prevention Through Education. In: Frost, E. (eds) Comprehensive Guide to Education in Anesthesia. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8954-2_18

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-8954-2_18

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-8953-5

  • Online ISBN: 978-1-4614-8954-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation