Heavy Cannabis Use Linked to Increased Pain After Surgery

A new recommendation suggests that doctors ask patients about cannabis use before surgery.

photo: David McNew (Getty Images)

New medical advice suggests doctors ask patients about it cannabis Use before surgical interventions. Surgical patients are now advised to disclose this Cannabis smoking habits to their doctors who warn of potential Side effects in combination with anesthesia.

The American Society for Regional Anesthesia and Pain Medicine (ASRA) issued the warning last week. The recommendation instructed anesthesiologists to ask patients about their cannabis use, which can lead to increased pain after surgery.

“Although some people use cannabis therapeutically to relieve pain, studies have shown that regular users may experience more pain and nausea after surgery, not less…” ASRA President Samer Narouze, MD, Ph.D. said in medical advice.

If patients’ cannabis use is regular or heavy when placed under anesthesia, they could be confronted a higher risk of heart problems and, in some cases, a heart attack, according to the guide.

The guidelines come as 37 states in the US have legalized cannabis and 19 have legalized it for recreational use to ease access. But doctors still remain woefully uninformed about the side effect, Narouze says, which is why anesthesiologists are now advised to screen all patients for cannabis.

Doctors should ask the patient what type of cannabis product was used, how it was used, whether it was smoked or ingested, the amount, how recently it was used, and how frequently it was used, the guidelines say.

Narouz added: “You also need to advise patients on the potential risks and effects of cannabis. For example, although some people use cannabis therapeutically to relieve pain, studies have shown that regular users may experience more pain and nausea after surgery, not less, and may need more medication, including opioids, to manage the discomfort. We hope the guidelines will serve as a roadmap to better care for patients who use cannabis and require surgery.”

A to learn published by the Regional Anesthesiology and Pain Medicine found that cannabis has become the “most commonly used psychotropic substance after alcohol” and is “the most commonly used recreational drug in the United States.”

the increasing the authorized cannabis use has made it “crucial” for anesthesiologists, surgeons and perioperative physicians to understand how cannabis can impact postoperative care.

A separate to learn conducted by the American Society of Anesthesiologists (ASA) reviewed 34,521 adult patients Records who had participated in elective surgery January 2010 to December 2020, 1,681 of them were cannabis users. According to the study, those who used cannabis within 30 days of surgery experienced 14% more pain in the first 24 hours after surgery than patients who had never used cannabis.

More investigations need to be done, the ASA reported, but in the meantime, Dr. Elyad Ekrami, MD in the study: “Physicians should consider that patients using cannabis may experience more pain and may require slightly higher doses of opioids post-surgery, emphasizing the need to continue exploring a multimodal approach to post-surgical pain control.”

Physicians should carefully screen their patients for cannabis use, said Dr. Kelly Johnson Arbor health line. Less or less frequent use of the drug to manage pain may not result in an anesthetic side effect, but those who use it regularly “may have an increased tolerance when it comes to pain management assistance,” she told Healthline.

Johnson-Arbor, a medical toxicologist and co-medical director at the National Capital Poison Center in Washington, DC, said the increased tolerance could impact the patient’s pain after his surgery.

“That’s why it’s very important that patients are honest with their doctors about their cannabis use,” she told the outlet, adding, “Failing to share your cannabis use habits with your doctors can result in inadequate anesthesia or post-surgical pain control.” ”

https://gizmodo.com/cannabis-use-marijuana-surgery-anesthesia-study-1849966607 Heavy Cannabis Use Linked to Increased Pain After Surgery

Zack Zwiezen

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