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Ketamine Dependence in an Anesthesiologist: An Occupational Hazard?

S. Goyal, A. Ambekar, R. Ray

Indian Journal of Psychological Medicine July 1, 2014 DOI: 10.4103/0253-7176.135395 via Semantic Scholar

Summary

AI-generated from the abstract

Ketamine dependence can develop in anesthesiologists, who have easy access to the drug. A case from India describes an anesthesiologist who experienced dissociation, depersonalization, and psychotic effects from ketamine, along with significant tolerance and cyclical use of very high doses, but without prominent physical withdrawal symptoms. The case highlights concerns about substance misuse among medical professionals and raises issues for patient safety and management of affected health workers.

Study at a glance

Characteristics Case study Case report Peer reviewed
Sample size 1
Population Anesthesiologist from India
Keywords Medicine
Citations 21
Key finding An anesthesiologist developed ketamine dependence with tolerance and high-dose cyclical use, without prominent physical withdrawal symptoms.

Abstract

Substance abuse among medical professionals is a cause for concern. Certain psychotropic substances such as ketamine are at easy dispense to anesthesiologists increasing the likelihood of misuse and dependence and raise several issues including safety of patients. We discuss a case demonstrating ketamine dependence in an anesthesiologist from India. The reported psychotropic effects of ketamine ranged from dissociation and depersonalization to psychotic experiences. There was also development of significant tolerance to ketamine without prominent physical withdrawal symptoms and cyclical use of very high doses was observed. Issues related to management of health professionals are also discussed.

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