Subject(s)
Coronary Artery Bypass/adverse effects , Heart Rupture, Post-Infarction/diagnosis , Myocardial Infarction/diagnosis , Postoperative Complications/diagnosis , Surgical Wound Infection/diagnosis , Catastrophic Illness , Fatal Outcome , Heart Rupture, Post-Infarction/etiology , Heart Rupture, Post-Infarction/microbiology , Heart Ventricles/microbiology , Heart Ventricles/pathology , Heart Ventricles/surgery , Humans , Male , Middle Aged , Myocardial Infarction/complications , Myocardial Infarction/microbiology , Occult Blood , Postoperative Complications/etiology , Postoperative Complications/microbiology , Sternum/microbiology , Sternum/surgery , Surgical Wound Infection/complications , Surgical Wound Infection/microbiologySubject(s)
Cardiac Tamponade/etiology , Heart Septal Defects, Atrial/therapy , Prostheses and Implants/adverse effects , Acute Disease , Adult , Cardiac Catheterization/methods , Cardiac Tamponade/diagnostic imaging , Cardiac Tamponade/therapy , Equipment Failure , Female , Humans , Retreatment/methods , Treatment Outcome , UltrasonographySubject(s)
Aortic Valve Insufficiency/diagnostic imaging , Echocardiography, Doppler, Pulsed/methods , Heart Valve Prosthesis/adverse effects , Mitral Valve Stenosis/surgery , Aortic Valve Insufficiency/etiology , Aortic Valve Insufficiency/physiopathology , Blood Flow Velocity/physiology , Diagnosis, Differential , Female , Humans , Middle AgedSubject(s)
Aorta/pathology , Aortic Aneurysm, Thoracic/diagnostic imaging , Aortic Dissection/diagnostic imaging , Cocaine-Related Disorders/complications , Crack Cocaine/toxicity , Echocardiography, Transesophageal , Aortic Dissection/etiology , Aortic Aneurysm, Thoracic/etiology , Cocaine-Related Disorders/pathology , Female , Humans , Middle AgedABSTRACT
STUDY OBJECTIVE: To survey practicing anesthesiologists about their attitudes about addiction and its treatment by means of a previously validated instrument. DESIGN: Anonymous mail survey. SETTING: Metropolitan medical college. PARTICIPANTS: Active members of the American Society of Anesthesiologists in Illinois and Wisconsin. MAIN RESULTS: The survey consisted of 50 statements presented in a five item Likert (agreement-disagreement) format that evaluated five attitude factors: permissiveness, nonstereotypes, treatment interventions, treatment optimism, and nonmoralism. Five hundred twelve completed and 21 undeliverable surveys were returned from 1,656 surveys mailed (response rate = 31%). The raw scores for the five attitude factors were permissiveness 25 +/- 6, nonstereotypes 34 +/- 6, treatment interventions 32 +/- 4, treatment optimism 19 +/- 3, and nonmoralism 31 +/- 5 (means +/- SD). Anesthesiologists with a personal history of addiction recorded attitude scores that were significantly (p < 0.05) higher than those of their colleagues. Formal training in substance abuse management, attendance at a Twelve Step meeting as either a participant or an observer, and experience with a friend, relative, or colleague with addiction were also associated with significantly higher attitude scores. The attitude scores of anesthesiologists were consistently below those previously reported for clinicians who regularly care for patients with addiction. CONCLUSIONS: Personal experience with, or education about, addiction contributes to a more positive attitude about addiction. Anesthesiologists have less positive attitudes about addiction than do physicians who regularly manage the disease.
