{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T16:20:43Z","timestamp":1768926043930,"version":"3.49.0"},"reference-count":40,"publisher":"Wiley","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anesthesiology Research and Practice"],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Perioperative management of cocaine-abusing patients scheduled for elective surgery varies widely based on individual anecdotes and personal experience.<jats:italic>Methods<\/jats:italic>. Chiefs of the anesthesia departments in the Veterans Affairs (VA) health system were surveyed to estimate how often they encounter surgical patients with cocaine use. Respondents were asked about their screening criteria, timing of screening, action resulting from positive screening, and if they have a formal policy for management of these patients. Interest in the development of VA guidelines for the perioperative management of patients with a history of cocaine use was also queried.<jats:italic>Results<\/jats:italic>. 172 VA anesthesia departments\u2019 chiefs were surveyed. Response rate was 62%. Over half of the facilities see cocaine-abusing patients at least once a week (52%). Two thirds of respondents canceled or delayed patients with a positive screen regardless of clinical symptoms. Only eleven facilities (10.6%) have a formal policy. The majority of facilities (80%) thought that having formal guidelines for perioperative management of cocaine-abusing patients would be helpful to some extent. Results. 172 VA anesthesia departments\u2019 chiefs were surveyed. Response rate was 62%. Over half of the facilities see cocaine-abusing patients at least once a week (52%). Two thirds of respondents canceled or delayed patients with a positive screen regardless of clinical symptoms. Only eleven facilities (10.6%) have a formal policy. The majority of facilities (80%) thought that having formal guidelines for perioperative management of cocaine-abusing patients would be helpful to some extent.<jats:italic>Conclusions<\/jats:italic>. There is a general consensus that formal guidelines would be helpful. Further studies are needed to help formulate evidence-based guidelines for managing patients screening positive for cocaine prior to elective surgery.<\/jats:p>","DOI":"10.1155\/2013\/149892","type":"journal-article","created":{"date-parts":[[2013,8,28]],"date-time":"2013-08-28T21:05:20Z","timestamp":1377723920000},"page":"1-7","source":"Crossref","is-referenced-by-count":6,"title":["Preoperative Screening and Case Cancellation in Cocaine-Abusing Veterans Scheduled for Elective Surgery"],"prefix":"10.1155","volume":"2013","author":[{"given":"Nabil","family":"Elkassabany","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Philadelphia VAMC, 3900 Woodland Avenue, Philadelphia, PA 19104, USA"},{"name":"Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce Street, Dulles 6, Philadelphia, PA 19104, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca M.","family":"Speck","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce Street, Dulles 6, Philadelphia, PA 19104, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Oslin","sequence":"additional","affiliation":[{"name":"Department of Behavioral Health, Philadelphia VAMC, Philadelphia, PA 19104, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Hawn","sequence":"additional","affiliation":[{"name":"Department of Surgery, Birmingham VAMC, Birmingham, AL 35249-6810, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3157-4993","authenticated-orcid":true,"given":"Khan","family":"Chaichana","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce Street, Dulles 6, Philadelphia, PA 19104, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Sum-Ping","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Dallas VA Medical Center, Dallas, TX 75216, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Sepulveda","sequence":"additional","affiliation":[{"name":"Department of Clinical Pathology, Philadelphia VAMC, Philadelphia, PA 19104, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Whitley","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Birmingham VA Medical Center, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasser","family":"Sakawi","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Birmingham VA Medical Center, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"4","year":"2010"},{"issue":"2","key":"5","first-page":"105","volume":"61","year":"1988","journal-title":"Yale Journal of Biology and Medicine"},{"key":"6","first-page":"221","volume":"175","year":"1997","journal-title":"NIDA Research Monograph"},{"issue":"10","key":"7","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1111\/j.2042-7158.1975.tb09404.x","volume":"27","year":"1975","journal-title":"Journal of Pharmacy and Pharmacology"},{"issue":"6","key":"8","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1016\/S0002-9343(88)80042-1","volume":"85","year":"1988","journal-title":"American Journal of Medicine"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1097\/MJT.0b013e3181ea30eb"},{"issue":"1","key":"10","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/S0272-5231(21)00679-1","volume":"11","year":"1990","journal-title":"Clinics in Chest Medicine"},{"issue":"17","key":"11","first-page":"516","volume":"107","year":"1995","journal-title":"Wiener Klinische Wochenschrift"},{"issue":"8","key":"12","doi-asserted-by":"crossref","first-page":"1173","DOI":"10.1212\/WNL.41.8.1173","volume":"41","year":"1991","journal-title":"Neurology"},{"key":"13","first-page":"99","volume":"115","year":"2004","journal-title":"Transactions of the American Clinical and Climatological Association"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200108023450507"},{"issue":"2","key":"15","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1164\/ajrccm\/142.2.462","volume":"142","year":"1990","journal-title":"American Review of Respiratory Disease"},{"issue":"3","key":"16","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1161\/01.CIR.94.3.534","volume":"94","year":"1996","journal-title":"Circulation"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1378\/chest.121.4.1231"},{"issue":"10","key":"18","doi-asserted-by":"crossref","first-page":"1320","DOI":"10.1161\/01.STR.22.10.1320","volume":"22","year":"1991","journal-title":"Stroke"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1016\/j.cll.2006.01.010"},{"issue":"2","key":"20","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1002\/clc.4960180206","volume":"18","year":"1995","journal-title":"Clinical Cardiology"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2009.07.005"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2006.11.037"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0900592"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1016\/j.forsciint.2009.04.004"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1016\/0379-0738(94)01625-F"},{"issue":"7","key":"27","doi-asserted-by":"crossref","first-page":"556","DOI":"10.7326\/0003-4819-116-7-556","volume":"116","year":"1992","journal-title":"Annals of Internal Medicine"},{"issue":"12","key":"28","doi-asserted-by":"crossref","first-page":"2189","DOI":"10.1016\/0024-3205(74)90035-6","volume":"15","year":"1974","journal-title":"Life Sciences"},{"issue":"3","key":"29","first-page":"910","volume":"261","year":"1992","journal-title":"Journal of Pharmacology and Experimental Therapeutics"},{"key":"30","doi-asserted-by":"publisher","DOI":"10.1016\/S0014-2999(01)01406-6"},{"issue":"8","key":"31","doi-asserted-by":"crossref","first-page":"858","DOI":"10.1007\/BF03008297","volume":"39","year":"1992","journal-title":"Canadian Journal of Anaesthesia"},{"issue":"4","key":"32","doi-asserted-by":"crossref","first-page":"913","DOI":"10.1097\/00000539-200010000-00026","volume":"91","year":"2000","journal-title":"Anesthesia and Analgesia"},{"key":"33","doi-asserted-by":"publisher","DOI":"10.1016\/j.annfar.2005.03.017"},{"key":"34","doi-asserted-by":"publisher","DOI":"10.1016\/j.annfar.2005.02.007"},{"issue":"1","key":"35","first-page":"19","volume":"29","year":"2004","journal-title":"Anaesthesiologie und Reanimation"},{"key":"36","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199601000-00025"},{"key":"37","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2006.07.005"},{"key":"38","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200604000-00029"},{"issue":"1","key":"40","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1213\/00000539-200201000-00026","volume":"94","year":"2002","journal-title":"Anesthesia and Analgesia"},{"key":"41","doi-asserted-by":"publisher","DOI":"10.1213\/01.ANE.0000154536.34258.A8"},{"key":"42","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/ael221"},{"key":"43","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e318187803f"},{"issue":"2","key":"44","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1097\/TA.0b013e3181622b9b","volume":"66","year":"2009","journal-title":"The Journal of Trauma"},{"key":"45","doi-asserted-by":"publisher","DOI":"10.1001\/jama.243.14.1437"}],"container-title":["Anesthesiology Research and Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/arp\/2013\/149892.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/arp\/2013\/149892.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/arp\/2013\/149892.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,5]],"date-time":"2022-03-05T01:47:32Z","timestamp":1646444852000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/arp\/2013\/149892\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013]]},"references-count":40,"alternative-id":["149892","149892"],"URL":"https:\/\/doi.org\/10.1155\/2013\/149892","relation":{},"ISSN":["1687-6962","1687-6970"],"issn-type":[{"value":"1687-6962","type":"print"},{"value":"1687-6970","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013]]}}}