[Perioperative risk caused by alcohol and/or drug abuse. Which therapy?].

Abstract

Alcohol and drug addicts usually suffer from polymorbidity. Withdrawal syndromes additionally endanger the success of surgical therapy. In opiate addicts withdrawal syndromes can and should be avoided by substitution of the drug or an analogon. In alcohol dependent patients the prophylaxis of withdrawal syndromes by i.v.-infusion of alcohol is not reliable. Therefore preference is given to the symptomatic therapy with combination of Benzodiazepin and Clonidin.