Korean J Anesthesiol.
2022 Oct;75(5):391-396. 10.4097/kja.21507.
Propofol abuse among healthcare workers: an analysis of criminal cases using the database of the Supreme Court of South Korea’s judgments
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea
- 2Department of Medical Law and Ethics, Graduate School, Yonsei University, Seoul, Korea
- 3Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea
- KMID: 2533437
- DOI: http://doi.org/10.4097/kja.21507
Abstract
- Background
Due to its abuse potential, propofol has been classified as a controlled substance since February 2011 in South Korea. Healthcare workers are exposed to propofol abuse considering their easy access to this substance in hospitals. Therefore, we aimed to investigate propofol abuse among healthcare workers through the database of the Supreme Court in South Korea.
Methods
We retrospectively analyzed adjudicated criminal cases related to propofol abuse among healthcare workers from January 1, 2013, to December 31, 2020, using the database of the Supreme Court of South Korea’s judgments. We collected the clinical characteristics and punishment-related information of healthcare workers who abused propofol.
Results
Of the 194 cases collected using the search term ‘propofol,’ 20 were included in the final analysis. The most common healthcare workers who abused propofol were nursing aides (n = 15). Among them, 40% (n = 8) of the defendants had previously been punished for substance abuse, and 35% (n = 7) had a history of psychological disease. Of the defendants, 65% (n = 13) self-administered propofol more than twice, and the median number of self-administrations was three. Except for two, the defendants were sentenced to imprisonment, including suspended sentences, and the median values of their duration of prison and probation were 9 months and 24 months.
Conclusions
Despite propofol being strongly regulated as a controlled substance in South Korea, its abuse among healthcare workers remains. Healthcare workers should be vigilant against its abuse among themselevs.
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