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Heroin Use Disorder

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

AspirationFull StomachAvoid HypoventilationAvoid HypoxiaSepsisImmunocompromiseWithdrawalRefractory PainDehydrationOptimize HydrationHypotensionArrhythmiasDifficult IV AccessInfective Endocarditis Risk

Pathophysiology

Heroin (diacetylmorphine) is a prodrug more potent than morphine , and the danger is kinetic. Injected, it reaches the brain in 15 to 20 seconds, and 68% of an intravenous dose contacts central...

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