Appropriate preoperative screening techniques are needed to safely provide anesthesia to increasing numbers of cannabis using surgical patients.
This was a quasi-experimental quality improvement project.
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.
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.
Preoperative identification of cannabis users allows for safer, more effective perioperative care by CRNAs, registered nurses, and surgical staff.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Journal of PeriAnesthesia Nursing
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
Washington State Department of Health. Washington state health assessment. https://www.doh.wa.gov/Portals/1/Documents/1000/SHA-MarijuanaUse.pdf. 2018
- Surgical considerations of marijuana use in elective procedures.Heliyon. 2018; 4: e00779https://doi.org/10.1016/j.heliyon.2018.e00779
- Marijuana use in the anesthetized patient: history, pharmacology, and anesthetic considerations.AANA J. 2019; 87: 451-457
- Perioperative care of cannabis users: a comprehensive review of pharmacological and anesthetic considerations.J Clin Anesth. 2019; 57: 41-49https://doi.org/10.1016/j.jclinane.2019.03.011
- Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures: an updated report by the American Society of Anesthesiologist task force on preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration*.Anesthesiology. 2017; 126: 376-393https://doi.org/10.1097/ALN.0000000000001452
- Cannabis use disorder and perioperative outcomes in major elective surgeries: a retrospective cohort analysis.Anesthesiology. 2020; 132: 625-635https://doi.org/10.1097/ALN.0000000000003067
- Preoperative screening for illicit drug use in patients undergoing emergency surgery: a prospective observational study.Sci Rep. 2018; 8: 7405https://doi.org/10.1038/s41598-018-25829-3
- The perioperative implications of tobacco, marijuana, and other inhaled toxins.Int Anesthesiol Clin. 2011; 49: 103-118https://doi.org/10.1097/AIA.0b013e3181dd4f53
- Perioperative cannabis use: a longitudinal study of associated clinical characteristics and surgical outcomes.Reg Anesth Pain Med. 2021; 46: 137-144https://doi.org/10.1136/rapm-2020-101812
- Preoperative interventions for alcohol and other recreational substance use: a systematic review and meta-analysis.Front Psychol. 2019; 10: 34https://doi.org/10.3389/fpsyg.2019.00034
- Anesthetic implications of recreational drug use.Can J Anaesth J Can Anesth. 2017; 64: 1236-1264https://doi.org/10.1007/s12630-017-0975-0
Published online: January 04, 2023
Publication stageIn Press Corrected Proof
Conflict of Interest: None to report.
© 2022 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.