Perioperative management of patients with drug addiction

Background. Patients undergoing surgical or diagnostic procedures, as well critically ill patients, often suffer from psychoactive substance use disorders. The term “psychoactive substances” here includes both narcotics and psychotropic substances (or their analogs) precursors. They are strongly associated with drug addiction such behavioral disorders addictive behavior delinquency. People is a high-risk group due to variety of physical mental factors. Common comorbidities in this population include human immunodeficiency virus, viral hepatitis, infections caused by resistant strains microorganisms. Clinical practice shows that medical professionals underestimate the likelihood occur patients before surgery. Generally, related abuse treatable, most pathophysiological changes organ functions reversible. Early detection risks them crucial for timely appropriate preventive measures order reduce frequency severity these complications. Despite increased perioperative risk, can be treated safely if multidisciplinary treatment strategies implemented. Psychoactive leads wide spectrum disorders, regardless whether it occasional cannabis usage severe dependence on stimulants narco­tics. This explains need personalized approach an anesthesiologist avoid complications cannabinoids, cocaine, amphetamines, opioids. Therefore, individual anesthesiological management mandatory monitoring selection anesthesia techniques methods justified. Conclusions. Drug successfully managed detected time during preoperative period. Knowledge main pharmacological effects clinical signs prolonged allows anesthesiologists proactively outline optimal strategy anesthetic interventions.