Anesthesia for Cannabis and Cannabis Products Users

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Published: Aug 22, 2023
Keywords:
anesthesia, cannabis, marijuana

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Suttasinee Petsakul
Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand
Suwimon Tangwiwat
Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Somchai Amornyotin
Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Nantthasorn Zinboonyahgoon
Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Sasikaan Nimmaanrat
Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand
Wareerat Kaikosol
Department of Anesthesiology, Kabinburi Hospital, Prachinburi, Thailand
Thanachporn Boonsombat
Department of Anesthesiology, Neurological Institute of Thailand, Bangkok, Thailand
Patt Pannangpetch
Department of Anesthesiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
Rattaphol Seangrung
Department of Anesthesiology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Thanarat Suansanae
Department of Pharmacy, Faculty of Pharmacy, Mahidol University, Bangkok, Thailand
Sahaphume Srisuma
Department of Internal Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Ngamjit Pattaravit
Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand
Ruenreong Leelanukrom
Department of Anesthesiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand

Abstract

Cannabis (marijuana) and cannabis products, derived from plants of genus Cannabis. With the legalization of cannabis and cannabis products in Thailand, their widespread use for both medical and recreational purposes have increase. However, the chemical compounds present in cannabis can have adverse effects on various systems of the body, including the nervous system, cardiovascular system, respiratory system, and immunity. These effects can lead to complications in patients using cannabis during perioperative care. The history taking in cannabis users is very important. Laboratory screening for cannabis is still inconclusive. This review aims to provide an overview of the pharmacokinetics, pharmacodynamics, potential complications, and cannabis toxicity to guide anesthetic personnel in planning and managing anesthesia in the cannabis and cannabis products users.

Article Details

Issue
Vol. 49 No. 5 (2023): September-October
Section
Review articles
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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