Substance use disorder in the anaesthetist Guidelines from the Association of Anaesthetists

Anaesthetists have a higher incidence of substance use disorder when compared with other doctors. This might be due to the ease of access to intravenous opioids, propofol, midazolam, inhalational agents and other anaesthetic drugs. Alcohol use disorder continues to be the most common problem. Unfortunately, the first sign that something is amiss might be the anaesthetist's death from an accidental or deliberate overdose. While there are few accurate data, suicide is presumed to be the cause of death in approximately 6-10% of all anaesthetists. If we are to prevent this, substance use disorder must be recognised early, we should ensure the anaesthetist is supported by their department and hospital management and that the anaesthetist engages fully with treatment. Over 75% of anaesthetists return to full practice if they co-operate fully with the required treatment and supervision.

Automated summary

Anaesthetists have a higher incidence of substance use disorder, especially alcohol use disorder, compared to other doctors. The ease of access to various drugs may contribute to this issue. Suicide is presumed to be the cause of death in a significant number of anaesthetists. To prevent this, early recognition of substance use disorder, department and hospital support, and full engagement with treatment are crucial. Over 75% of anaesthetists can return to full practice if they fully cooperate with the required treatment and supervision.