Perioperative care for drug abusers in the opioid crisis era

Background: Narcotic abuse and addiction have recently emerged as significant global issues. The consumption of dependence-inducing substances has become increasingly prevalent among younger generations in numerous countries, exacerbating the problem. Until 2015, South Korea had been relatively narcotic-free; however, this is no longer true. Consequently, encountering narcotic abusers clinical settings, including operating rooms, becoming more common. It crucial to be prepared for these phenomena.Current Concepts: Research on managing during perioperative period remains insufficient. In 2023, American Society Regional Anesthesiologists Pain Medicine published guidelines management cannabinoid users. decision discontinue or continue medical cannabinoids before surgery uncertain. When patients with short- long-term exposure cannabinoids, anesthetic requirements tend decrease cases acute intoxication increase Therefore, duration from last use should considered when adjusting dose.Discussion Conclusion: Punishment not a viable solution reality where Preventing individuals supporting addicts’ treatment rehabilitation essential. There an urgent need interest research focused abuse.