Re: Propofol Abuse Growing Problem for Anesthesiologists Originally Posted by nolabarkeep
"Anesthesiologists may be unwittingly driven to substance abuse through chronic exposure to aerosolized fentanyl and propofol exhaled by patients in the OR."
Why is this exclusive to anesthesiologists? Shouldn't this also affect everyone else in the OR? Also, I would assume that a large percentage of Pt's in the OR are intubated. This would lessen direct contact with exhalation. I would like to see other studies on abused drugs by anesthesiologists. I would bet that propofol is on the lower end of the abuse scale.
I think like fire we have three elements that lead to this. With fire you need fuel, heat, and a source of O2. With substance abuse we need exposure, risky behavior, access to the drug. Many in the OR are exposed. The anesthesiologist has the greatest exposure by his/location near the patien'ts head. Some in the OR have the tendency to be willing to engage in risky behaviors- trying new drugs, stealing. But, few in the OR have access to the drug. Drugs are controlled by location and access. The anesthesiologist has that access. Therefore, the anesthesiologist who has the sum of all the Xs (or risk factors) equals Y (potential for substance abuse).
I have to wonder why anyone would abuse a drug that might stop your respiratory drive while you are using it? That to me is a sign of almost suicidal behavior- the equivalent of Russian Roulette.
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