Parameters for treatment of cocaine-positive patients.
Publication/Presentation Date
10-1-2007
Abstract
PURPOSE: The purpose of this study was to identify the parameters by which oral and maxillofacial surgeons and anesthesiologists make decisions as to the safety for proceeding with surgery and anesthesia in cocaine-positive patients and to determine a national consensus of opinion, if possible.
METHODS: Questionnaires were mailed to all known oral and maxillofacial surgery training programs and anesthesiology training programs in the United States (n = 241). Programs were queried as to screening, testing, parameters, and outcomes.
RESULTS: Of the 241 questionnaires mailed, 114 (47%) were returned. Identification on the returns was optional; therefore, it was impossible to determine the total from each discipline. Only 16% of the programs had a formalized policy for cocaine screening prior to surgery and anesthesia. There was significant variability in the length of delay/time lapse before proceeding with anesthesia and surgery in the face of cocaine positivity.
CONCLUSION: Based on the returned questionnaires and literature searches, the authors propose that patients who test positive for cocaine in their urine may undergo necessary surgical and anesthetic care, after an 8-hour period of discontinuing of cocaine, if the individual is hemodynamically stable.
Volume
65
Issue
10
First Page
1984
Last Page
1989
ISSN
0278-2391
Published In/Presented At
Granite, E. L., Farber, N. J., & Adler, P. (2007). Parameters for treatment of cocaine-positive patients. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 65(10), 1984–1989. https://doi.org/10.1016/j.joms.2006.11.037
Disciplines
Anesthesiology | Medicine and Health Sciences
PubMedID
17884526
Department(s)
Department of Anesthesiology
Document Type
Article