Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_999_Библиотеки_им_академика_М_И_Перельмана

Current practice patterns often delay elective procedures by up to 7days since the last use as determined by urine or serum testing [8]. The majority of established guidelines for administering anesthesia to patients with IDU focus on emergency cases and managing the effects of acute intoxication [9, 10]. In such cases, specic measures are required to mitigate potential interactions with anesthetics. Patients who undergo emergency surgery have been found to require higher levels of seda­tion and exhibit an association with increased perioperative morbidity. There is also an association between patients presenting for emergency surgery and increased rates of the human immunodeciency virus (HIV) and Syphilis, which can compli­cate perioperative care [11]. However, multiple studies have demonstrated compa­rable 30-day clinical outcomes to the general population for patients who test positive for illicit drugs in urine drug screen (UDS) but are non-toxic [6, 12–14]. Most literature also examines cases with general anesthesia rather than the lighter sedation used for endoscopy. Here we discuss the systemic effects of frequently encountered illicit drugs and procedural management considerations.