Substance Abuse in Anesthesiology: Implications for Patients and for Anesthesiologists

This chapter examines the prevalence and implications of substance abuse in the context of anesthesia. It highlights the significant challenges posed by intoxicated patients, emphasizing the importance of thorough preoperative assessment, including history-taking and physical examination, to identify substance use. Intraoperative management involves adjusting anesthesia dosages based on the patient's intoxication status, with considerations for both acute and chronic effects of various substances. The chapter underscores the necessity for anesthesiologists to adapt their approach based on the specific substance involved and the patient's individual circumstances, prioritizing patient safety throughout the perioperative period.