Skip to main content

Conduites addictives chez les professionnels de santé

  • Chapter
Enjeux éthiques en réanimation
  • 685 Accesses

Résumé

Les professionnels de santé exercent des métiers caractérisés par l’existence de contraintes et de stress liés aux conditions de travail. Ces caractéristiques existent également dans d’autres milieux professionnels hors du domaine de la santé et sont intimement liées aux conditions de travail et à son organisation. Un certain nombre de médecins ou d’autres professionnels de santé sont susceptibles de développer des conduites addictives dont l’objet est de pouvoir surmonter leurs difficultés profes sionnelles. Même si des facteurs personnels ou familiaux peuvent rendre compte de ces conduites, l’environnement professionnel joue un rôle important (1)–(4). Par ailleurs le milieu de l’anesthésie-réanimation et de médecine d’urgence se caractérise par l’opportunité unique de disposer et d’utiliser des substances psychoactives hautement toxicomanogènes. L’exposition quotidienne aux substances toxicomanogènes fait courir un risque particulier aux professionnels travaillant dans ces milieux et concernés par la toxicomanie, et pose des problèmes pour leur réinsertion professionnelle lorsque la toxicomanie est avérée.

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

Access this chapter

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Références

  1. Lutsky HM, Hopwood M, Abram SE, et al. (1993) Psychoactive substance use among american anesthesiologists: a 30 year retrospective study. Can J Anaesth 40: 915–921

    Article  PubMed  CAS  Google Scholar 

  2. Mclellan AT, Skipper GS, Campbell M, DuPont RL (2008) Five year outcomes in a cohort study of physicians treated for substance use disorders in the United States BMJ 337: a2038

    Google Scholar 

  3. Hughes PH, Brandenburg N, Baldwin DC Jr, et al. (1992) Prevalence of substance use among US physicians JAMA 267: 2333–2339

    Article  PubMed  CAS  Google Scholar 

  4. Merlo JL, Gold MS (2008) Prescription opioid abuse and dependence among physicians: hypotheses and treatment. Harv Rev Psychiatric 16: 181–194

    Article  Google Scholar 

  5. Lutsky HM, Abram SE, Cerletty JM, et al. (1994) Use of psychoactive substances in three medical specialties: anaesthesia, medicine and surgery. Can J Anaesth 41: 561–567

    Article  PubMed  CAS  Google Scholar 

  6. McAuliffe WE (1984) Non therapeutic opiate addiction in health professionals: a new form of impairment. Am J Drug Alcohol Abuse 10: 1–22

    Article  PubMed  CAS  Google Scholar 

  7. Ward CF, Ward GC, Saidman LJ (1983) Drug abuse in anesthesia training programs: a survey 1970 through 1980. JAMA 250: 922–925

    Article  PubMed  CAS  Google Scholar 

  8. Farley WJ (1992) Addiction and the anaesthesia resident. Can J Anaesth 39: R11–R17

    Article  PubMed  CAS  Google Scholar 

  9. Menk EJ, Baumgarten K, Kingsley CP, et al. (1990) Success of reentry into anesthesiology training programs by residents with a history of substance abuse. JAMA 263: 3060–3062

    Article  PubMed  CAS  Google Scholar 

  10. Lutsky I, Abram SE, Jacobson GR, et al. (1991) Substance abuse by anesthesiology residents. J Acad Med 66: 164–166

    Article  CAS  Google Scholar 

  11. Baldwin DC, Hughes PH, Conard SE, et al. (1991) Substance abuse among senior medical students. A survey of 23 medical schools. JAMA 265: 2074–2078

    Article  PubMed  Google Scholar 

  12. Beaujouan L, Czernichow S, Pourriat JL, Bonnet F (2005) Prévalence et facteurs de risque de l’addiction aux substances psychoactives en milieu anesthésique: résultat de l’enquête nationale. Ann Fr Anesth Réanim 24: 471–479

    PubMed  CAS  Google Scholar 

  13. Hughes PH, Storr CL, Brandenburg NA, et al. (1999) Physician substance use by medical specilaty. J Addict Dis 18: 23–37

    Article  PubMed  CAS  Google Scholar 

  14. Paris RT, Canavan DI (1999) Physician substance abuse impairment: anesthesiologists vs other specilaties. J Addict Dis 18: 1–7

    Article  PubMed  CAS  Google Scholar 

  15. Alexander BH, Checkoway H, Nagahama SI, Domino KB (2000) Cause-specific mortality risks of anesthesiologists. Anesthesiology 93: 922–930

    Article  PubMed  CAS  Google Scholar 

  16. Carpenter LM, Swerdlow AJ, Fear NT (1997) Mortality of doctors in different specialties: findings from a cohort of 20 000 NHS consultants. Occupational and Environmental Medicine 54: 388–395

    CAS  Google Scholar 

  17. Hawton K, Clements A, Sakarovitch CF, et al. (2001) Suicide in doctors: a study of risk according to gender, seniority, and specialty in medical practitioners in England, and Wales, 1979–1995. J Epidemiol Community Health 55: 296–300

    Article  PubMed  CAS  Google Scholar 

  18. Gravenstein JS, Kory WP, Marks RG (1983) Drug abuse by anesthesia personnel. Anesth Analg 62: 467–472

    PubMed  CAS  Google Scholar 

  19. Crawshaw R, Bruce RA, Eraker PL, et al. (1980) An epidemic of suicide among physicians on probation. JAMA 243: 1915–1917

    Article  PubMed  CAS  Google Scholar 

  20. Lecky JH, Aukburg SJ, Conahan TJ III, et al. (1986) A departmental policy addressing chemical substance abuse. Anesthesiology 65: 414–417

    Article  PubMed  CAS  Google Scholar 

  21. Berge KH, Seppala MD, Lanier WL (2008) The anaesthesiology community’s approach to opioid-and anestheticabusing personnel:time to change course. Anesthesiology 109: 762–764

    Article  PubMed  Google Scholar 

  22. Klein RL, Stevens WC, Kingston HGC (1992) Controlled substance dispensing and accountability in the United States anesthesiology residency programs. Anesthesiology 77: 806–811

    Article  PubMed  CAS  Google Scholar 

  23. Schmidt KA, Schlesinger MD (1993) A reliable accounting system for controlled substances in the operating room. Anesthesiology 78: 184–190

    Article  PubMed  CAS  Google Scholar 

  24. Rosenberg M (1980) Drug abuse in anesthesia training programs: a survey: 1970 through 1980. JAMA 250: 922–925

    Google Scholar 

  25. Robb N (1995) University acknowledges special risks introduces drug program for anesthetists. Can Med Assoc J 153: 449–452

    CAS  Google Scholar 

Download references

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer-Verlag France

About this chapter

Cite this chapter

Bonnet, F. (2010). Conduites addictives chez les professionnels de santé. In: Enjeux éthiques en réanimation. Springer, Paris. https://doi.org/10.1007/978-2-287-99072-4_22

Download citation

  • DOI: https://doi.org/10.1007/978-2-287-99072-4_22

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-287-99071-7

  • Online ISBN: 978-2-287-99072-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics