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Anesth Analg 2000;91:758-759
© 2000 International Anesthesia Research Society


CASE REPORTS

General Anesthesia in a Patient on Long-Term Amphetamine Therapy: Is There Cause for Concern?

Stephen P. Fischer, MD, James M. Healzer, MD, Michael W. Brook, MD, and John G. Brock-Utne, MD, PhD

Department of Anesthesia, Stanford University School of Medicine, Stanford, California

Address correspondence and reprint requests to Stephen P. Fischer, MD, Stanford University Medical Center, Department of Anesthesia, 300 Pasteur Drive, Room H3580, Stanford, CA 94305-5640.

Implications: Amphetamines are powerful, sympathomimetic amines that, when used chronically, can profoundly effect a patient’s cardiovascular stability during anesthesia and surgery. Amphetamines are the third most widely abused class of drugs in the United States. They also have legitimate medical use for attention deficit disorder with hyperactivity, exogenous obesity, and narcolepsy. We report a case of a patient with a 40-yr history of chronic amphetamine use having undergone two general anesthesias without complication.




This article has been cited by other articles:


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Anesth. Analg.Home page
S. P. Fischer, C. A. Schmiesing, C. G. Guta, and J. G. Brock-Utne
General anesthesia and chronic amphetamine use: should the drug be stopped preoperatively?
Anesth. Analg., July 1, 2006; 103(1): 203 - 206.
[Abstract] [Full Text] [PDF]


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Br J AnaesthHome page
Y. U. Adachi, K. Watanabe, T. Satoh, and E. S. Vizi
Halothane potentiates the effect of methamphetamine and nomifensine on extracellular dopamine levels in rat striatum: a microdialysis study
Br. J. Anaesth., June 1, 2001; 86(6): 837 - 845.
[Abstract] [Full Text] [PDF]




Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2000 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2000 by the International Anesthesia Research Society.