Health
Cannabis users may feel more pain after surgery
Using cannabis within the last month was associated with more pain after surgery compared to not using cannabis recently, according to a study published in. Anesthesiology 2022 Annual Meeting.
“Cannabis is the most commonly used illicit drug in the United States and is increasingly used as an alternative treatment for chronic pain, but there are limited data showing how it affects patient outcomes after surgery. ,” said the lead author. Elyad Ekrami, MDClinical Research Fellow, Outcomes Research Division, Institute of Anesthesiology, Cleveland Clinic. press release.
About 2.1 million Americans are estimated to use medical cannabis, with 62% using it to treat chronic pain. US pharmacist.
“Our study shows that adults who use cannabis experience more, rather than less, postoperative pain. As a result, they consume more opioids after surgery.” says Dr. Ekrami.
Marijuana use in the US has more than doubled since 2013
and July 2022 Gallup Pollabout 16% of Americans say they smoke marijuana, more than double the number since the company first asked the question in 2013.
Currently, 37 states, 3 territories, and the District of Columbia allow medical care. use of marijuanaand 19 states, two territories, and the District of Columbia allow recreational use of drugs. National State Legislative Assembly (NCSL).
Cannabis users experienced more pain within 24 hours after surgery
Researchers analyzed hospital records of 34,521 adult patients who underwent elective surgery at the Cleveland Clinic between January 2010 and December 2020. A total of 1,681 of these patients reported using cannabis within 30 days before surgery, whereas the other subjects had never used cannabis.
Cannabis users experienced 14% more pain in the first 24 hours after surgery compared to patients who never used cannabis.Additionally, those who used cannabis consumed 7% more opioid Post-surgery — Not enough to be statistically significant, but more likely to be clinically relevant, the authors say.
Since cannabis and cannabis-based drugs are known to relieve pain, some people may think that being a cannabis user means less pain after surgery and less opioids needed. . M. Alparslan Turan, MDa general anesthesiologist at the Cleveland Clinic.
“However, hospitalized patients typically do not use cannabis within the first 24 hours. This does not provide pain relief,” says Dr. Turan.
Study adds some clarity about potential effects of post-surgical pain in people who use cannabis
Small studies of cannabis use, pain scores, and opioid consumption have been conducted with conflicting results, Ekrami said.
“Our study had a much larger sample size and did not include patients diagnosed with chronic pain or who received local anesthesia, which could lead to serious discrepancies in the results,” he said. I got
The researchers were also able to control for several important factors that could affect the experience of pain, including age, gender, tobacco and other illicit drug use, depression, and psychiatric disorders.
People who use cannabis may need to slightly increase their opioid dose after surgery
Further research is needed to further define the effects of cannabis on surgical outcomes, the authors say. “I think patients and caregivers can assume that patients using cannabis may have more pain and may need slightly more opioids in the first 24 hours in the hospital,” Turan said. says.
The difference in pain volume was not significant, but not enough to apply separate guidelines for these patients, he says, but patients need to be informed about high pain and opioid side effects.
Do you use marijuana?inform the doctor
More research is needed to confirm these findings, but it’s still important to let your doctor or surgeon know if you’re using cannabis. Mount Sinai Health SystemCannabis can interact with other medications you take, reducing or increasing their potency.
Even if marijuana isn’t legal in your area, you should let your health care provider know. Unless there is a concern that someone is seriously harming themselves or others, they are not legally allowed to report drug use to the police. Ohio State University.
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