Anesthesia-assisted rapid opiate detoxification: a new procedure in the postanesthesia care unit.
Heroin detoxification by anesthesia-assisted rapid opiate detoxification (AAROD) can be achieved in approximately 1 hour using intravenous administration of midazolam, propofol, and naloxone. Opiate dependence and detoxification techniques are reviewed. Important aspects of patient care and perianesthesia nursing are described using a case study. To assist in caring for the patient undergoing anesthesia-assisted rapid opiate detoxification, the perianesthesia nurse should understand the methodology and controversy of this new procedure.
Wilson
L B
LB
Thomas Jefferson University Hospital, Philadelphia, PA, USA.
DeMaria
P A
PA
Kane
H L
HL
Reining
K M
KM
D000328:Adult; D000768:Anesthesia, General / Q000379:methods* / Q000451:nursing; D018686:Anesthetics, Intravenous / Q000627:therapeutic use*; D006556:Heroin Dependence / Q000188:drug therapy*; D006801:Humans; D008297:Male; D008874:Midazolam / Q000627:therapeutic use*; D009270:Naloxone / Q000627:therapeutic use*; D009292:Narcotic Antagonists / Q000627:therapeutic use*; D019990:Perioperative Care / Q000379:methods / Q000451:nursing; D016528:Postanesthesia Nursing / Q000379:methods; D015742:Propofol / Q000627:therapeutic use*; D013375:Substance Withdrawal Syndrome / Q000188:drug therapy*
D018686:Anesthetics, Intravenous; D009292:Narcotic Antagonists; D009270:Naloxone; D008874:Midazolam; D015742:Propofol