Abstract

The body of evidence regarding cannabinoid consumption and anesthetic implications lacked enough research to support any conclusive recommendations but did bring attention to several concerns. The following details surrounding a patient’s cannabinoid use could have a significant impact on the anticipated physiological responses seen during the perioperative period: cannabinoid formulation, concentration, routes of use, regularity/chronicity of use, and time/dose of last use. Depending on those details, a patient could exhibit tachycardia, bradycardia, hypertension, hypotension, arrhythmias, bronchodilation, bronchoconstriction, or excess secretions. Additionally, there are concerns for an increased risk of perioperative myocardial infarction (MI) or cerebrovascular accident (CVA), higher pain scores, higher opioid requirements, and airway hyperreactivity or edema. While the literature correlates cannabinoid use to the mentioned complications, the details and circumstances of these complications are still unexplored. Ascertaining the appropriate interventions for both preventing and managing perioperative complications in cannabinoid users is another area of focus necessary for future research. There are little to no studies into the interactions of anesthetic agents with cannabinoids. This is an area of significant consequence for future research when considering the best practices for anesthesia management intraoperatively.

Author Details

Hollie Roberts DNP(c), BSN and Lisa Herbinger, DNP, CRNA, FAANA

Sigma Membership

Non-member

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Case Study/Series

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Marijuana, Cannabinoids, Anesthesia

Advisor

Lisa Herbinger

Second Advisor

Amy Snow

Degree

DNP

Degree Grantor

Samford University

Degree Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Full Text of Presentation

wf_yes

Poster

Additional Files

Abstract.pdf (87 kB)

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