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首页> 外文期刊>Best practice & research:Clinical anaesthesiology >Substance abuse and dependence in anaesthetists
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Substance abuse and dependence in anaesthetists

机译：麻醉师的药物滥用和依赖性

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The incidence of substance abuse amongst anaesthetists in the United Kingdom is unknown. In the interests of patient safety, it is essential that the dependent doctor is identified and entered into a treatment regime. No national strategy is in place to treat and, where possible, return the anaesthetist in recovery to work. It is important therefore, that individual employers have a standing operating procedure to deal with the addicted doctor. It is essential that the initial approach is made by a competent panel, each of whom has experience of dealing with dependent doctors. This is an extremely stressful time for the doctor involved; it is therefore essential that active support is given. It is not always necessary to suspend the doctor from work whilst treatment is undertaken. In the dependent doctor sudden withdrawal of the substance of addiction can be life-threatening. It is therefore essential that the supervising physician has specialist knowledge of the treatment of addiction. Residential care probably provides the greatest hope of success. In the United States, Canada, Australia and New Zealand 'impaired physician' programmes are in place which allow some doctors to return to work, initially under strict supervision. Registration with a self-help organisation is essential; a list of such groups in the United Kingdom is appended. 2006 Elsevier Ltd. All rights reserved.
机译：在英国，麻醉师中药物滥用的发生率未知。为了患者安全，必须确定受抚养的医生并进入治疗方案。目前尚无治疗的国家策略，并在可能的情况下让麻醉师恢复工作。因此，重要的是，个体雇主必须有固定的操作程序来对付上瘾的医生。至关重要的是，最初的方法必须由主管小组进行，每个小组都有与依赖医生打交道的经验。对于相关的医生来说，这是一个非常紧张的时期。因此，必须给予积极的支持。在进行治疗时，不一定总是需要暂停医生的工作。在受抚养的医生中，成瘾物质的突然戒断可能危及生命。因此，至关重要的是，主管医师必须具有成瘾治疗的专业知识。院舍护理可能为成功提供最大希望。在美国，加拿大，澳大利亚和新西兰，实行了“残障医师”计划，这些计划允许一些医生在严格的监督下重返工作岗位。在自助组织中注册是必不可少的;随附了英国此类团体的清单。 2006 Elsevier Ltd.保留所有权利。

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