Emergence of xylazine as a public health threat: what does the anesthesiologist need to know for perioperative care?

被引:1
|
作者
Solanki, Pawan K. [1 ,3 ]
Yellapragada, Samir [1 ]
Lynch, Brendan [1 ]
Eibel, Maria [1 ]
Viscusi, Eugene R. [2 ]
Emerick, Trent [1 ]
机构
[1] UPMC, Chron Pain Div, Dept Anesthesiol & Perioperat Med, Pittsburgh, PA USA
[2] Thomas Jefferson Univ, Anesthesiol & Perioperat Med, Sidney Kimmel Med Coll, Philadelphia, PA USA
[3] UPMC, Anesthesiol & Perioperat Med, Kaufmann Bldg,3471 Fifth Ave Suite 402, Pittsburgh, PA 15213 USA
关键词
anesthesia; conduction; drug-related side effects and adverse reactions; outcome assessment; health care; patient education as topic; education;
D O I
10.1136/rapm-2023-105190
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
This paper explores the rapid emergence of xylazine exposure in the USA and its implications for anesthesiologists. Xylazine, a non-opioid sedative and analgesic often used in veterinary medicine, has increasingly been found as an adulterant in the illicit substance supply, leading to serious health implications. The pharmacological properties of xylazine, its clinical effects, and the challenges it poses for clinicans will be discussed. Perioperative strategies for anesthesiologists to manage these potential cases are provided. Furthermore, this paper necessitates an epidemiological understanding for detection and multidisciplinary collaboration in addressing this emerging public health threat. The manuscript concludes by emphasizing the role anesthesiologists will have to play in managing the clinical implications of xylazine and contributing to public health strategies aimed at curbing its misuse.
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页数:4
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