Mo1557 - Cyclical Vomiting Syndrome: National Trends and Impact on Healthcare Utilization from 2008-2014

Bhurwal, Abhishek; Bartel, Michael J.; Ivanovic, Sasa; Mutneja, Hemant; Goel, Akshay; Chawla, Ambreesh; Haq, Khwaja F.; Solanki, Shantanu; Brahmbhatt, Bhaumik

doi:10.1016/s0016-5085(18)32608-8

Cited by 2 publications

(1 citation statement)

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“…Cannabis consumption has been associated with poor oral hygiene, caries, and periodontal disease, which may have implications for airway management 101 102. Cannabis consumption is also linked to delayed gastric emptying, delayed intestinal motility, cyclical vomiting, cannabis hyperemesis syndrome and in surgical patients may also increase the risk of PONV 78 245 246. The endocannabinoid system is involved in hepatic homeostasis with derangements in this system being implicated in hepatic steatosis, fibrogenesis, and hepatic cirrhosis.…”

Section: Methodsmentioning

confidence: 99%

ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids

Shah

Schwenk

Sondekoppam

et al. 2023

Reg Anesth Pain Med

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BackgroundThe past two decades have seen an increase in cannabis use due to both regulatory changes and an interest in potential therapeutic effects of the substance, yet many aspects of the substance and their health implications remain controversial or unclear.MethodsIn November 2020, the American Society of Regional Anesthesia and Pain Medicine charged the Cannabis Working Group to develop guidelines for the perioperative use of cannabis. The Perioperative Use of Cannabis and Cannabinoids Guidelines Committee was charged with drafting responses to the nine key questions using a modified Delphi method with the overall goal of producing a document focused on the safe management of surgical patients using cannabinoids. A consensus recommendation required ≥75% agreement.ResultsNine questions were selected, with 100% consensus achieved on third-round voting. Topics addressed included perioperative screening, postponement of elective surgery, concomitant use of opioid and cannabis perioperatively, implications for parturients, adjustment in anesthetic and analgesics intraoperatively, postoperative monitoring, cannabis use disorder, and postoperative concerns. Surgical patients using cannabinoids are at potential increased risk for negative perioperative outcomes.ConclusionsSpecific clinical recommendations for perioperative management of cannabis and cannabinoids were successfully created.

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Section: Methodsmentioning

confidence: 99%

ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids

Shah

Schwenk

Sondekoppam

et al. 2023

Reg Anesth Pain Med

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Features of Anesthesia in Patients With Special Needs. Part 2

KRAVETS,

KLYGUNENKO,

YEKHALOV

et al. 2024

Pain Anaesth Int Care

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Cannabis potentially interacts with drugs commonly used for anesthesia, which can be life-threatening. Dysfunctions of various organs and systems in cannabis users classify them as patients at increased perioperative risk. When planning anesthesia, acute cannabis intoxication and chronic use should be considered, as patients with acute intoxication may require lower doses of anesthetics (but emergence from anesthesia will be significantly prolonged compared to nonintoxicated states). Chronic exposure to cannabinoids outside of acute intoxication leads to downregulation of receptors, which may result in increased anesthesia tolerance when patients abstain from cannabis before anesthesia. Regional anesthesia methods are preferred in cannabis-dependent individuals. Tolerance to propofol is increased in cannabis users. Acute cannabis intoxication mostly causes additive effects with general anesthesia drugs. Chronic cannabis use mostly results in cross-tolerance to general anesthesia drugs. Anesthesiologists, surgeons, and intensive care physicians should understand the impact of cannabis on the action of general anesthesia drugs to implement safe perioperative management.

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Mo1557 - Cyclical Vomiting Syndrome: National Trends and Impact on Healthcare Utilization from 2008-2014

Cited by 2 publications

References 0 publications

ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids

ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids

Features of Anesthesia in Patients With Special Needs. Part 2

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