TY  - CHAP
M1  - Book, Section
TI  - Chapter 95. Substance Dependence and Abuse in Anesthesia Care Providers
A1  - Brock, Margaret F.
A1  - Roy, Raymond C.
A2  - Longnecker, David E.
A2  - Brown, David L.
A2  - Newman, Mark F.
A2  - Zapol, Warren M.
PY  - 2012
T2  - Anesthesiology, 2e
AB  - The  incidence  of  opioid  abuse  among  anesthesia  providers  is  1%.Addiction  is  a  treatable  chronic,  relapsing  disease  with  a  genetic  predisposition.Seventy-five  percent  of  addicts  declare  themselves  by  age  27  years.Drugs  change  the  brain.  The  brain  changes  associated  with  addiction  are  independent  of  drug  of  abuse.Addiction  among  anesthesia  providers  is  most  commonly  detected  through  observed  behavioral  changes.Interventions  should  be  based  on  concern  over  wellness.  Substance  abuse  is  only  one  of  several  potential  diagnoses  that  threaten  wellness.Intervention  at  an  early  stage  of  addiction  is  associated  with  greater  treatment  success  than  intervention  at  later  stages.Evidence-based  treatment  of  addiction  reduces  relapse  rates.Most  addicts  have  psychiatric  comorbidities  that  must  be  treated  concurrently  to  prevent  relapse.Reentry  requires  a  contract  between  the  abstinent  colleague  and  his  employer.  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/24
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=56659715
ER  -