Abstract
Purpose
Appropriate preoperative screening techniques are needed to safely provide anesthesia
to increasing numbers of cannabis using surgical patients.
Design
This was a quasi-experimental quality improvement project.
Methods
Preoperative identification of cannabis users by registered nurses (RNs) and certified
registered nurse anesthetists (CRNAs) was compared to baseline identification rates.
CRNAs’ compliance with evidenced base guidelines was recorded. Perioperative medication
requirements were recorded and compared between cannabis-users and non-cannabis users.
Findings
Identification of cannabis users by CRNAs conducting preanesthetic assessments increased
from 4.08% to 14.36% while RN identification improved from 11.22% to 13.81%. Compliance
with identification guidelines was 69.2% among CRNAs. There were no differences in
anesthetic requirements, complications, or postanesthesia care unit (PACU) length
of stay between cannabis users and non-users.
Conclusion
Preoperative identification of cannabis users allows for safer, more effective perioperative
care by CRNAs, registered nurses, and surgical staff.
Keywords
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Article info
Publication history
Published online: January 04, 2023
Publication stage
In Press Corrected ProofFootnotes
Conflict of Interest: None to report.
Identification
Copyright
© 2022 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.
