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  • Marijuana users need more anesthesia for surgery


    According to research presented at the American Society of Anesthesiologists' Anesthesiology 2022 Annual Meeting, adults who regularly use cannabis require more anesthesia during surgery compared to those who do not. It is also noted that cannabis users require more opioids during recovery from surgery.

    The American Society of Anesthesiologists (ASA), founded in 1905, is an educational, research and scientific society of more than 56,000 members, organized to raise and maintain standards of medical practice in anesthesiology. ASA is committed to ensuring that anesthesiologists evaluate and monitor patient care before, during and after surgery to ensure the highest quality and safe care that every patient deserves.

    The researchers analyzed the medical records of 34,521 adult patients who underwent elective surgery at the Cleveland Clinic. Among them, 1681 people used cannabis regularly in the 30 days before surgery, while the other patients never used it. Patients who used cannabis experienced 14% more pain during the first 24 hours after surgery compared to patients who never used cannabis. In addition, patients who used cannabis consumed 7% more opioids after surgery, which the authors noted was not statistically significant but likely of clinical significance.

    “An association between cannabis use, pain scores, and opioid use has been previously reported in small studies, but they have produced inconsistent results,” says Elyad Ekrami, MD, lead author of the study.
    “Our study has a much larger sample size and does not include patients diagnosed with chronic pain. In addition, our study groups were balanced for confounding factors including age, gender, tobacco and other illicit substance use, and depression and psychological disorders.”
    Dr. Ekrami noted that more research is needed to further determine the impact of cannabis on surgical outcomes: “Physicians should be aware that patients who use cannabis may experience more pain and require slightly higher doses of opioids after surgery, highlighting the need for continued exploration of a multimodal approach to postoperative pain management.”
    Author DeepWeb
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