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Scientific journals Brazilian Journal of Anesthesiology (Impresso)
Please use this identifier to cite or link to this item: http://preprints.ibict.br/handle/1618034/121
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dc.contributor.editorBarros, Guilherme Antonio Moreira de-
dc.creatorSerebrenic, Flavia-
dc.creatorCarmona, Maria José Carvalho-
dc.creatorCunha, Paulo Jannuzzi-
dc.creatorMalbergier, André-
dc.date2021-05-07-
dc.date.accessioned2021-05-10T19:00:18Z-
dc.date.available2021-05-10T19:00:18Z-
dc.identifier.issn0104-0014pt_BR
dc.identifier.urihttp://preprints.ibict.br/handle/1618034/121-
dc.description.abstractBackground: Anesthetic and/or opioid abuse is more prevalent among anesthesiologists than in other medical specialties and it has been associated with high mortality. The aim of this study was to evaluate factors associated with lethal anesthetic and/or opioid abuse among anesthesiologists. Methods: We evaluated psychological factors, and occupational history and circumstances of death of anesthesiologists who died from anesthetic abuse. Data were obtained post-mortem from colleagues, and relatives. After finding eligible cases, we identified the key informants, who were interviewed personally or via email, through the qualitative method known as “Psychological Autopsy”. Results: 18 cases of death were identified, but we were able to interview 44% of them (N=8), most of whom were young males. They died at home or at the hospital and were found ‘at the scene’. Being an introspective person, who did not share personal issues at workplace was the most prevalent personal characteristic. At work, they seemed to perform very well their functions, but some present subtle changes such as to staying more than usual at the workplace and and/or neglecting some of their responsibilities. The main reported factors to explain their substance abuse were emotional problems including psychiatric, excessive hours of work and other health factors. Conclusion: This study identified that emotional disturbances, compulsive work and general health problems were the more prominent factors involved with those deaths. Further larger studies are needed to better under-stand how these factors could be early identified in order to timely prevent anesthetic and/or opioid abuse and several deaths among anesthesiologists.en
dc.languageInglêspt_BR
dc.titlePostmortem qualitative analysis of psychological, occupational, and environmental factors associated with lethal anesthetic and/or opioid abuse among anesthesiologists: case seriesen
dc.title.alternativeAnálise qualitativa postmortem de fatores psicológicos, ocupacionais e ambientais associados a abuso letal de anestésicos e/ou de opioides entre anestesiologistas: série de casospt
dc.identifier.doi10.1016/0104-0014.2021.001pt_BR
dc.publisher.countryBrazilpt_BR
dc.subject.keywordsAnestheticsen
dc.subject.keywordsAnesthesiologistsen
dc.subject.keywordsDrug abuseen
dc.description.abstractalternativeIntrodução: O uso abusivo de anestésico e/ou opioide é mais prevalente entre anestesiologistas do que em outras especialidades médicas e tem sido associado a alta mortalidade. O objetivo do presente estudo foi avaliar os fatores associados a uso abusivo letal de anestésico e/ou opioide entre anestesiologistas. Métodos: Avaliamos os fatores psicológicos, e história ocupacional e circunstâncias do óbito de anestesiologistas que morreram em decorrência de uso abusivo de anestésico. Os dados foram obtidos post-mortem de colegas e familiares. Após encontrar casos elegíveis, identificamos os informantes- chave, que foram entrevistados pessoalmente ou por e-mail, através do método qualitativo conhecido como “Autópsia Psicológica”. Resultados: 18 mortes foram identificadas, mas conseguimos entrevistar 44% deles (n = 8), a maioria jovens do sexo masculino. Morreram em casa ou no hospital e foram encontrados no local da ocorrência. Ser uma pessoa introspectiva que não compartilhava questões pessoais no local de trabalho foi a característica pessoal mais prevalente. No trabalho, pareciam realizar bem suas funções, mas apresentaram algumas mudanças sutis, tais como permanecer mais tempo que o usual no local de trabalho e /ou negligenciar algumas de suas responsabilidades. Os principais fatores relatados para explicar o uso abusivo de drogas foram problemas emocionais incluindo psiquiátricos, excesso de horas de trabalho e outros fatores de saúde. Conclusão: O presente estudo identificou os transtornos emocionais, trabalho compulsivo e problemas gerais de saúde como os mais proeminentes fatores envolvidos com as mortes. Estudos futuros maiores são necessários para melhor entender como esses fatores podem ser identificados precocemente para prevenir a tempo uso abusivo de anestésico e/ou opioide e várias mortes entre anestesiologistas.pt
dc.subject.keywordsalternativeAnestésicospt
dc.subject.keywordsalternativeAnestesiologistaspt
dc.subject.keywordsalternativeAbuso de drogaspt
dc.description.referenceSerebrenic, Flavia; Carmona, Maria José Carvalho; Cunha, Paulo Jannuzzi; Malbergier, André (2021). Postmortem qualitative analysis of psychological, occupational, and environmental factors associated with lethal anesthetic and/or opioid abuse among anesthesiologists: case series (preprint submitted to: Brazilian Journal of Anesthesiology). EmeRI - Emerging Research Information. DOI: 10.1016/0104-0014.2021.001.pt_BR
dc.title.journalBrazilian Journal of Anesthesiology (Impresso)pt_BR
dc.identifier.urlhttps://www.bjan-sba.org/pt_BR
dc.publisher.nameBrazilian Society of Anesthesiology (SBA)pt_BR
dc.relation.informationservicesSciELO (Scientific Electronic Library Online)pt_BR
dc.relation.informationservicesScopuspt_BR
dc.relation.thematicinformationservicesScience Directpt_BR
dc.relation.thematicinformationservicesEMBASEpt_BR
dc.relation.thematicinformationservicesMEDLINEpt_BR
dc.subject.abecclassificationSurgical Medicinept_BR
dc.subject.abecclassificationClinical medicinept_BR
Appears in Collections:Brazilian Journal of Anesthesiology (Impresso)

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