Anestesia e o usuário de Ecstasy

Eduardo Toshiyuki Moro; Alexandre A. Fontana Ferraz; Norma Sueli Pinheiro Módolo

doi:10.1590/S0034-70942006000200010

Review Article

Anestesia e o usuário de Ecstasy

Anesthesia and the Ecstasy user

Eduardo Toshiyuki Moro; Alexandre A. Fontana Ferraz; Norma Sueli Pinheiro Módolo

http://dx.doi.org/10.1590/S0034-70942006000200010 Braz J Anesthesiol, vol.56, n2, p.183-188, 2006

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Resumo

JUSTIFICATIVA E OBJETIVOS: Nos últimos anos o número de novos usuários de agentes ilícitos tem aumentado de forma significativa em todo o mundo. A maconha e a cocaína, além do álcool e do tabaco, têm sido os agentes citados com freqüência, porém houve um aumento significativo de usuários de outros agentes psicoestimulantes ou alucinógenos, como o Ecstasy, o GHB, o LSD e a metanfetamina, empregados com o objetivo de intensificar as experiências sociais. O objetivo do presente artigo foi discutir a apresentação clínica, os efeitos deletérios e as potenciais interações com o ato anestésico no paciente cirúrgico usuário desses agentes ilícitos. CONTEÚDO: O artigo discute os mecanismos de ação, a apresentação clínica, os efeitos deletérios e as possíveis repercussões observadas durante a anestesia no usuário de MDMA (3,4-metilenodioximetanfetamina), também conhecido como Ecstasy. CONCLUSÕES: A apresentação clínica e os efeitos deletérios provocados pelo 3,4-metilenodioximetanfetamina (Ecstasy), assim como potenciais interações com o ato anestésico devem ser do conhecimento do anestesiologista, pois em muitas situações esses usuários serão submetidos a intervenções cirúrgicas de emergência, ou mesmo eletivas.

Palavras-chave

COMPLICAÇÕES, FARMACOLOGIA

Abstract

BACKGROUND AND OBJECTIVES: The number of new users of illicit substances has been growing steadily all over the world over the last few years. Marijuana and cocaine have been mentioned most often, but the last few years saw a marked increase in the number of users of other psychostimulants or hallucinogens, taken with the aim of intensifying social experiences. The aim of this article is to discuss the clinical presentation, the damaging effects and the potential interactions with anesthesia of the surgical patient who is a user of these illicit substances. CONTENTS: The article discusses the action mechanisms, the clinical presentation, the damaging effects and the potential repercussions observed during anesthesia in users of MDMA (3,4-methylenedioxymethamphetamine), also known as Ecstasy. CONCLUSIONS: Anesthesiologists should be made aware of the clinical presentation and the damaging effects brought about by 3,4 - methylenedioxymethamphetamine (Ecstasy), as well as the potential interactions with anesthesia, since people who use these substances may find themselves in surgery many times, either due to an emergency situation or by choice.

Keywords

COMPLICATIONS, PHARMACOLOGY

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Anestesia e o usuário de Ecstasy

Anesthesia and the Ecstasy user

Eduardo Toshiyuki Moro; Alexandre A. Fontana Ferraz; Norma Sueli Pinheiro Módolo

Resumo

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Abstract

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