MadSci Network: Biochemistry |
Chronic(long-term) substance abuse tends to increase one's tolerance to anesthetics through a metabolic process called enzyme induction chiefly in the liver cells. As a result the dosage of anesthetics either IV or inhalational is increased. Acute intoxication tends to decrease the dosage of anesthetics needed. Two extremely dangerous acute situations involve cocaine and heroin intoxications and general anesthesia in which death from cardiac arrest can occur. One week after occasional drug use will have little or no effect on the conduct of general anesthesia.
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