Propofol Abuse Growing Problem for Anesthesiologists - page 7
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Jul 8, '09Quote from NC29momYes, 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?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......
Jul 8, '09Unfortunately 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.
Jul 8, '09Quote from NC29momBased upon what data?Unfortunately it seems to be more than a small minority.
Jul 8, '09A 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
Jul 8, '09Quote from NC29momWhy can't you believe it?I can't believe that this drug is not treated as other controlled substances.
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?
Jul 8, '09Quote from southernbeegirlI think you may be mistaken. Poppy seeds in sufficient quantities will test you positive for opiates, not marijuana.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
Jul 9, '09Quote from azhiker96Which 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.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.
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!
Jul 9, '09There'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.
Jul 10, '09Michael Jackson (MJ) has brought Propofol abuse to the ears of the general population. Got IV access, but no heart monitor? Well, you looking at permanent sleep potential, aka MJ-ville.
Jul 10, '09Quote from ♪♫ in my ♥Well, lets see, you hear about it all the time on the news; I am a nurse in NC and we get a magazine every quarter that lists all the nurses that have either surrendered their license or lost their license for issues with controlled substance abuse; substance abuse of controlled substances is on the rise and the highest ever; the list goes on.Based upon what data?
This problem isn't going to go away on its own. We, as a society, have to deal with it and find a solution and help for those involved.
Aug 20, '09Whether propofol is a "controlled substance" or not does not matter. If a hospital or surgicenter wants to control it's use and distribution, it's simple: call the pharmacy and they can restrict it's use via computer monitoring.... Nobody should be allowed unmonitored access to this drug..........or do nothing and watch the carnage.....
Aug 20, '09Quote from msjagWhat he needed was a pulse/ox. The first thing to go is respirations. I bet his heart failure was from hypoxia due to apnea.Michael Jackson (MJ) has brought Propofol abuse to the ears of the general population. Got IV access, but no heart monitor? Well, you looking at permanent sleep potential, aka MJ-ville.
Aug 20, '09What happens, as anesthesia deepens (consciousness is a continuum) the tongue falls back in the posterior pharynx and obstructs the airway....so by DEFINITION (loss of airway reflexes) it is now a general anesthetic. If a chin lift is needed, technically its a general.....apnea occurs as the patient gets even deeper.....but an obstructed airway will cause hypoxia and then bradycardia progressing to full arrest.......no doubt what happened to MJ........