まとめ
薬物依存症は,麻酔リジデントとインストラクターの間で重要な問題であり,多くのプログラムでインシデントが報告されています. 行動の変化はしばしば検出につながり,ほとんどの方が精神科の治療を受けますが,薬物過剰摂取による死亡例もあります.
科学分野:
- アネステシオロジー アネステシオロジー
- 依存症医学 薬物中毒医学
- 医療教育 医療教育について
背景:
- 麻酔患者の薬物依存は懸念されています.
- 米国の麻酔訓練プログラムにおける薬物乱用の流行に関する公開されたデータは限られている.
- 制度的な経験は,より広範な調査の必要性を強調しました.
研究 の 目的:
- 米国における麻酔内科医とインストラクターの薬物依存症の流行と特徴を決定する.
- よく乱用される物質と検出方法を特定する.
- 化学的に障害のある麻酔医の結果を理解するために.
主な方法:
- 289の米国麻酔訓練プログラムにアンケートが配布されました.
- 収集されたデータには,薬物依存の疑いおよび確認された事件の数が含まれています.
- 関連する薬物,行動の変化,患者のアウトカムに関する情報が収集されました.
主要な成果:
- 回答した247のプログラムのうち,184 (74%) が少なくとも1件の疑わしい事件を報告した.
- インストラクターを含む334件の薬物依存の確定症例が報告されました.
- メペリジンとフェンタニルは,最も頻繁に関与した薬物でした. 行動の変化は検出の鍵でした.
- ほとんどの麻酔医は精神科の治療を受けていたが,解毒が必要だったのはわずかだった. フォローアップを受けたうち,71人が仕事に戻り,30人が過剰摂取で死亡しました.
結論:
- 化学的障害は,薬剤のアクセシビリティが原因で,一般に信じられているよりも,麻酔学において潜在的により一般的です.
- 行動の変化による早期発見は極めて重要です.
- 麻酔訓練プログラムにおける薬物乱用は,継続的な注意と介入戦略を必要とします.
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