Perioperative Considerations for Patients Exposed to Psychostimulants.
Anesthesia and analgesia September 1, 2023 Trent D Emerick, Thomas J Martin, Douglas G Ririe 7 citations
Psychostimulants like amphetamines, cocaine, and entactogens pose challenges for anesthesia providers because each subclass has unique receptor activity and effects. These substances alter how anesthetic agents, adjuvants, and pain medications work, complicating perioperative care. The article reviews the epidemiology, pharmacology, and clinical implications of acute or chronic psychostimulant exposure, providing a foundation for safe management during surgery.