Propofol Abuse Growing Problem for Anesthesiologists - page 6

by Anxious Patient

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  1. 0
    Quote from 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?
    Because, like all gases, the concentration drops rapidly (by the power of 1/3) as it diffuses through the volume. The anesthesiologists are right by the source and hence "see" much higher concentrations than do anybody else.
  2. 0
    I can't believe that this drug is not treated as other controlled substances. WOW! It saddens me that so many 'famous' people have resorted to abusing/misusing prescription drugs. It saddens me even more that there are people in the medical profession that are contributing to their abuse/misuse.

    Before too long, you are going to have to have a picture ID and a scheduled appointment just to pick up your Tylenol #3 tablets (you had a tooth pulled) from the pharmacy. might not be a bad thing......
  3. 3
    Quote from NC29mom
    Before too long, you are going to have to have a picture ID and a scheduled appointment just to pick up your Tylenol #3 tablets (you had a tooth pulled) from the pharmacy. might not be a bad thing......
    Yes, it would be a bad thing. Why add more hassle and expense to all of us simply because a small minority can't handle the responsibility?
  4. 0
    Unfortunately it seems to be more than a small minority.

    At the same time, I don't see how showing a picture ID would help solve the problem.
  5. 0
    Quote from NC29mom
    Unfortunately it seems to be more than a small minority.
    Based upon what data?
  6. 0
    A lot of drugs can be abused. I heard a rumor that a hospital in Kentucky fired several nurses due to propofol abuse. They way they were abusing it was that they were saving it and giving it (unproscribed of course) to patients giving them trouble. The med would of course knock the patient out so the "problem patient" wouldn't be a problem anymore. There were propofol bottles found in nurses lockers that were molded they had been saved for so long.
    The reason, I understand, that the tubing has to be changed q12h is due to the high lipid content of the medicine. It ups the chance of infection. I work in a small town CCU who uses it to sedate vent patients. This is a med to take very seriously
  7. 1
    Quote from NC29mom
    I can't believe that this drug is not treated as other controlled substances.
    Why can't you believe it?

    The reason controlled substances exist is due to their abuse potential.

    Propofol isn't habit forming nor does much tolerance ever build up from it and it's so dangerous it can't be abused without being rich enough to purchase private staff and monitoring equipment to make sure you keep breathing.

    How, exactly, is the average person able to abuse it?
    cardiacRN2006 likes this.
  8. 1
    Quote from southernbeegirl
    believe it or not, it really is true.

    they did an experiment at the rehab i went to. they had a patient go out for a pass and tested him on return (per policy after passes out with family). he tested positive for pot.

    they were going to kick him out of the program. but he had been so into his treatment, one of the few they thought really had "got it".

    so they did an experiment on the guy after he tested negative for pot a few days later. they had him eat poppy seed rolls. they had him void after ever roll. it only took 2 small rolls for him to test way positive.

    i thought that was kinda neat to know.


    when i was under contract with peer i couldnt eat arby's beef and cheddar because of the poppy seeds on the bun. i didnt want it on a sesame bun because it wasnt the same. i know, im wierd. so as soon as i graduated, i ate 2 of them, lol
    I think you may be mistaken. Poppy seeds in sufficient quantities will test you positive for opiates, not marijuana.
    Spidey's mom likes this.
  9. 0
    Quote from azhiker96
    BTW, I know of one anesthesiologist who had a narcotics abuse problem. He is currently in a 2 year long program that includes random testing, may not practice anesthesiology, no etoh or poppy seed consumption, no access to IV narcotics, 90 12-step meetings in 90 days, all personal healthcare through one PCP who's approved by the board, monthy reports to the medical board, and a few other odds and ends.
    Which profession has an addiction rate even higher than the anesthesiologist? A PAIN MANAGEMENT PHYSICIAN - the "gold" standard for a PM doctor is an anesthesiologist who has completed a fellowship in pain management.

    I know one who has been reported to the medical board several times - even by patients! Guess what, THE MEDICAL BOARD HASN'T DONE ANYTHING! They actually asked the complainants if they had WITNESSED him abusing drugs. I'm SO SURE this doctor is going to use these drugs with witnesses around. It doesn't matter that people witnessed him slurring his words and barely able to stand or falling asleep while talking to a patient, the board members want more proof! GIVE ME A BREAK!
  10. 0
    There's supposedly a high recidivism rate among addicted anesthesiologists, the temptation being constant exposure to drugs which are the tools of their trade. I guess it would be just as easy for an alcoholic to fall off the wagon if his profession was bartending.


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