Dimitrijević Ivan, Zoricić Zoran, Milenović Miodrag, Palibrk Ivan, Dimitrijević Draga, Milaković Branko, Kalezić Nevena
Faculty of Medicine, University of Belgrade, Serbia.
Acta Chir Iugosl. 2011;58(2):151-5. doi: 10.2298/aci1102151d.
Proper diagnosis of psychoactive substance abuse and addiction, as well as acute intoxication, withdrawal syndrome and overdosing are of great importance in patients who are preparing for surgical intervention. There are some specific details in their preoperative preparation whether they underwent emergency or elective surgery. Good knowledge of the characteristics of psychoactive substance abuse and addiction, interaction of psychoactive substances and anesthetics and any other drugs that could be used in the perioperative period is important especially for anastesiologist. In this work we present key issues for recognizing theese patients as well as some guidelines for adequate preoperative preparation and postoperative care.
对于准备接受手术干预的患者，正确诊断精神活性物质滥用与成瘾以及急性中毒、戒断综合征和药物过量至关重要。无论他们接受的是急诊手术还是择期手术，其术前准备都有一些具体细节。熟知精神活性物质滥用与成瘾的特征、精神活性物质与麻醉剂以及围手术期可能使用的任何其他药物之间的相互作用，对麻醉医生尤为重要。在这项工作中，我们阐述了识别这些患者的关键问题以及一些关于充分术前准备和术后护理的指导原则。
