TY - JOUR
T1 - A review of illicit psychoactive drug use in elective surgery patients: Detection, effects, and policy
AU - Selvaggi, Gennaro
AU - Spagnolo, Antonio Gioacchino
AU - Elander, Anna
PY - 2017
Y1 - 2017
N2 - Limited information is present in literature regarding detection of illicit drug users visiting physicians when planning elective surgery; also, there is no update manuscript that is illustrating the effects of illicit drugs use that require reconstructive surgery interventions. Aims of this manuscript are: 1) to summarize existing knowledge, and give surgeons information how to detect patients who might possible use illicit drugs; 2) to review the effects of illicit drug use that specifically require reconstructive surgery interventions; 3) to assess on existing policies on asymptomatic illicit drug users when planning elective surgery. Studies were identified by searching systematically in the electronic databases PubMed, Medline, The Cochrane Library and SveMed+. Because of the nature of research questions to be investigated (drug policy and surgery), a âsystematic reviewâ was not possible. In spite of some existing policies to detect illicit drug use in specific situations such as workplaces or acute trauma patients, there is a lack of data and lack of information, and subsequently no policy has ever been made, for detection and management of illicit drug use asymptomatic patients requesting or referred for plastic surgery interventions. This manuscript poses questions for further ethical evaluations and future policy.
AB - Limited information is present in literature regarding detection of illicit drug users visiting physicians when planning elective surgery; also, there is no update manuscript that is illustrating the effects of illicit drugs use that require reconstructive surgery interventions. Aims of this manuscript are: 1) to summarize existing knowledge, and give surgeons information how to detect patients who might possible use illicit drugs; 2) to review the effects of illicit drug use that specifically require reconstructive surgery interventions; 3) to assess on existing policies on asymptomatic illicit drug users when planning elective surgery. Studies were identified by searching systematically in the electronic databases PubMed, Medline, The Cochrane Library and SveMed+. Because of the nature of research questions to be investigated (drug policy and surgery), a âsystematic reviewâ was not possible. In spite of some existing policies to detect illicit drug use in specific situations such as workplaces or acute trauma patients, there is a lack of data and lack of information, and subsequently no policy has ever been made, for detection and management of illicit drug use asymptomatic patients requesting or referred for plastic surgery interventions. This manuscript poses questions for further ethical evaluations and future policy.
KW - Elective surgery
KW - Illicit drug use
KW - Plastic surgery
KW - Surgery: medico-legal
KW - ethics
KW - Elective surgery
KW - Illicit drug use
KW - Plastic surgery
KW - Surgery: medico-legal
KW - ethics
UR - http://hdl.handle.net/10807/115789
UR - http://www.elsevier.com/wps/find/journaldescription.cws_home/705107/description#description
U2 - 10.1016/j.ijsu.2017.10.074
DO - 10.1016/j.ijsu.2017.10.074
M3 - Article
SN - 1743-9191
VL - 48
SP - 160
EP - 165
JO - International Journal of Surgery
JF - International Journal of Surgery
ER -