Preoperative Screening and Case Cancellation in Cocaine-Abusing Veterans Scheduled for Elective Surgery
Background. Perioperative management of cocaine-abusing patients scheduled for elective surgery varies widely based on individual anecdotes and personal experience. Methods. Chiefs of the anesthesia departments in the Veterans Affairs (VA) health system were surveyed to estimate how often they enco...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2013/149892 |
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| author | Nabil Elkassabany Rebecca M. Speck David Oslin Mary Hawn Khan Chaichana John Sum-Ping Jorge Sepulveda Mary Whitley Yasser Sakawi |
| author_facet | Nabil Elkassabany Rebecca M. Speck David Oslin Mary Hawn Khan Chaichana John Sum-Ping Jorge Sepulveda Mary Whitley Yasser Sakawi |
| author_sort | Nabil Elkassabany |
| collection | DOAJ |
| description | Background. Perioperative management of cocaine-abusing patients scheduled for elective surgery varies widely based on individual anecdotes and personal experience. Methods. Chiefs of the anesthesia departments in the Veterans Affairs (VA) health system were surveyed to estimate how often they encounter surgical patients with cocaine use. Respondents were asked about their screening criteria, timing of screening, action resulting from positive screening, and if they have a formal policy for management of these patients. Interest in the development of VA guidelines for the perioperative management of patients with a history of cocaine use was also queried. Results. 172 VA anesthesia departments’ chiefs were surveyed. Response rate was 62%. Over half of the facilities see cocaine-abusing patients at least once a week (52%). Two thirds of respondents canceled or delayed patients with a positive screen regardless of clinical symptoms. Only eleven facilities (10.6%) have a formal policy. The majority of facilities (80%) thought that having formal guidelines for perioperative management of cocaine-abusing patients would be helpful to some extent. Results. 172 VA anesthesia departments’ chiefs were surveyed. Response rate was 62%. Over half of the facilities see cocaine-abusing patients at least once a week (52%). Two thirds of respondents canceled or delayed patients with a positive screen regardless of clinical symptoms. Only eleven facilities (10.6%) have a formal policy. The majority of facilities (80%) thought that having formal guidelines for perioperative management of cocaine-abusing patients would be helpful to some extent. Conclusions. There is a general consensus that formal guidelines would be helpful. Further studies are needed to help formulate evidence-based guidelines for managing patients screening positive for cocaine prior to elective surgery. |
| format | Article |
| id | doaj-art-f511237b2bdb4bfaa705b94e9c4ce57b |
| institution | Kabale University |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anesthesiology Research and Practice |
| spelling | doaj-art-f511237b2bdb4bfaa705b94e9c4ce57b2025-08-20T03:25:22ZengWileyAnesthesiology Research and Practice1687-69621687-69702013-01-01201310.1155/2013/149892149892Preoperative Screening and Case Cancellation in Cocaine-Abusing Veterans Scheduled for Elective SurgeryNabil Elkassabany0Rebecca M. Speck1David Oslin2Mary Hawn3Khan Chaichana4John Sum-Ping5Jorge Sepulveda6Mary Whitley7Yasser Sakawi8Department of Anesthesiology, Philadelphia VAMC, 3900 Woodland Avenue, Philadelphia, PA 19104, USADepartment of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce Street, Dulles 6, Philadelphia, PA 19104, USADepartment of Behavioral Health, Philadelphia VAMC, Philadelphia, PA 19104, USADepartment of Surgery, Birmingham VAMC, Birmingham, AL 35249-6810, USADepartment of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce Street, Dulles 6, Philadelphia, PA 19104, USADepartment of Anesthesiology, Dallas VA Medical Center, Dallas, TX 75216, USADepartment of Clinical Pathology, Philadelphia VAMC, Philadelphia, PA 19104, USADepartment of Anesthesiology, Birmingham VA Medical Center, USADepartment of Anesthesiology, Birmingham VA Medical Center, USABackground. Perioperative management of cocaine-abusing patients scheduled for elective surgery varies widely based on individual anecdotes and personal experience. Methods. Chiefs of the anesthesia departments in the Veterans Affairs (VA) health system were surveyed to estimate how often they encounter surgical patients with cocaine use. Respondents were asked about their screening criteria, timing of screening, action resulting from positive screening, and if they have a formal policy for management of these patients. Interest in the development of VA guidelines for the perioperative management of patients with a history of cocaine use was also queried. Results. 172 VA anesthesia departments’ chiefs were surveyed. Response rate was 62%. Over half of the facilities see cocaine-abusing patients at least once a week (52%). Two thirds of respondents canceled or delayed patients with a positive screen regardless of clinical symptoms. Only eleven facilities (10.6%) have a formal policy. The majority of facilities (80%) thought that having formal guidelines for perioperative management of cocaine-abusing patients would be helpful to some extent. Results. 172 VA anesthesia departments’ chiefs were surveyed. Response rate was 62%. Over half of the facilities see cocaine-abusing patients at least once a week (52%). Two thirds of respondents canceled or delayed patients with a positive screen regardless of clinical symptoms. Only eleven facilities (10.6%) have a formal policy. The majority of facilities (80%) thought that having formal guidelines for perioperative management of cocaine-abusing patients would be helpful to some extent. Conclusions. There is a general consensus that formal guidelines would be helpful. Further studies are needed to help formulate evidence-based guidelines for managing patients screening positive for cocaine prior to elective surgery.http://dx.doi.org/10.1155/2013/149892 |
| spellingShingle | Nabil Elkassabany Rebecca M. Speck David Oslin Mary Hawn Khan Chaichana John Sum-Ping Jorge Sepulveda Mary Whitley Yasser Sakawi Preoperative Screening and Case Cancellation in Cocaine-Abusing Veterans Scheduled for Elective Surgery Anesthesiology Research and Practice |
| title | Preoperative Screening and Case Cancellation in Cocaine-Abusing Veterans Scheduled for Elective Surgery |
| title_full | Preoperative Screening and Case Cancellation in Cocaine-Abusing Veterans Scheduled for Elective Surgery |
| title_fullStr | Preoperative Screening and Case Cancellation in Cocaine-Abusing Veterans Scheduled for Elective Surgery |
| title_full_unstemmed | Preoperative Screening and Case Cancellation in Cocaine-Abusing Veterans Scheduled for Elective Surgery |
| title_short | Preoperative Screening and Case Cancellation in Cocaine-Abusing Veterans Scheduled for Elective Surgery |
| title_sort | preoperative screening and case cancellation in cocaine abusing veterans scheduled for elective surgery |
| url | http://dx.doi.org/10.1155/2013/149892 |
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