Hello all, I am hoping you all can help answer this question I have. Recently saw a relatively young, healthy patient for elective orthopedic surgery who has been abusing meth for some time. He actually denied it but utox was positive. Now, we all know that the concern with chronic meth use is catecholamine depletion and the associated refractory hypotension and possibly even cardiac arrest on induction. So we would do pre-induction a-line, use direct acting pressors, etc etc. My questions is with elective surgeries, is there a length of time that you would have them wait from their last meth use to potentially allow for the catecholamine stores to build back up? I've tried looking online but it seems pretty varied from several days to several weeks but no consensus. Maybe those that have been practicing a while may have some input? Thanks a bunch.