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Professional Allied Staff Courses

Friday, September 16, 2011
8:00AM - 11:00AM


(C) 114


Street Drugs and Herbal Agents: How Their Use Affects Your Practice*

Amanda Sue Carlisle, MD, PhD
Professor of Anesthesia and Medicine, Department of Anesthesia
San Francisco, CA

Steve Miriani, BS Human Physiology
Bureau Of Narcotic Enforcement
California Highway Patrol (Retired)
Vacaville, CA


Drug abusers are found throughout society and frequently it is extremely difficult to identify them. Therefore, during the presentation, attendees will be taken into the underworld of the drug addict to learn what illegal drugs look like, how they’re ingested, “street lingo” and other tools, which will make identification easier. Drug abuse is extremely common in our society and is associated with many traumatic injuries and long term medical disabilities. Many drugs of abuse also interact with anesthetic medications commonly used for both major and minor procedures. The use of herbal agents is also quite common and users and clinicians frequently are unaware of the side-effects and drug interactions of these agents. The physiological and psychological effects of all of these substances need to be taken into account when planning a procedure. It is important to be able to recognize and treat the problems associated with herbal remedies as well as those associated with drugs of abuse.

Learning Objectives

At the conclusion of this presentation, participants should be able to:

  1. Recognize signs of potential drug abuse in patients and colleagues and employ appropriate strategies in treating and coping with identified drug users;
  2. Understand the interactions of “street” drugs with common anesthetics; and
  3. Understand the side-effects of commonly used herbal agents.

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