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#40 – Gas and Grass: Anesthetic Considerations for Care of the Cannabis User

Study Link: http://depaul.qualtrics.com/jfe/form/SV_9Y32tyhtj6i8GZU

Nicole Kellogg, BSN, SRNA and Elizabeth Fullford, BSN, SRNA join me to discuss the anesthetic considerations for cannabis users.

This podcast is part of a study they’re conducting on the efficacy of an educational podcast for SRNAs and CRNAs. PLEASE COMPLETE THE PRE-SURVEY AND POST-SURVEY HERE. The study will be live through the end of October 2021.

At the time of this episode’s publication (1 September 2021) Elizabeth Fulford & Nicole Kellogg were third-year anesthesia trainees at the NorthShore University HealthSystem School of Nurse Anesthesia. 

Elizabeth Fulford, BSN, SRNA received her undergraduate degree from Michigan State University in 2011. Prior to anesthesia school, Liz primarily practiced in pediatric ICUs and also adult post-anesthesia care units in several states throughout the country.  She is an avid skier and enjoys camping with her husband Sean and fur child, Mandy.

Nicole Kellogg’s, BSN, SRNA nursing background was in rapid response and in a medical-cardiac intensive care unit.  She lives in Geneva, Illinois with her husband and two young kids and says fulfilling her dream of becoming a CRNA would not be possible without her family.  

Nicole Kellogg, BSN, SRNA
Elizabeth Fullford, BSN, SRNA

Below are the outline with citations of the podcast discussion plus the full bibliography.

References

Alexander, J. C., & Joshi, G. P. (2019). A review of the anesthetic implications of marijuana use. Proceedings – Baylor University Medical Center, 32(3), 364-371. doi:10.1080/08998280.2019.1603034.

Drug Enforcement Agency. (n.d.). Controlled Substance Schedules.https://www.deadiversion.usdoj.gov/schedules/#:~:text=Some%20examples%20of%20substances%20listed,methylenedioxymethamphetamine%20(%22Ecstasy%22).

Echeverria-Villalobos, M., Todeschini, A. B., Stoicea, N., Fiorda-Diaz, J., Weaver, T., & Bergese, S. D. (2019). Perioperative care of cannabis users: A comprehensive review of pharmacological and anesthetic considerations. Journal of clinical anesthesia, 57, 41-49. doi:10.1016/j.jclinane.2019.03.011

Flanagan, B. (2021). Harnessing the Endocannabinoid System: What It Means for the Anesthesia Provider. AANA Journal 89(3), 261-268. 

Holmen, I. C., Beach, J. P., Kaizer, A. M., & Gumidyala, R. (2020). The association between preoperative cannabis use and intraoperative inhaled anesthetic consumption: A retrospective study. Journal of clinical anesthesia, 67, 109980-109980. doi:10.1016/j.jclinane.2020.109980

Horvath, C., Dalley, C. B., Grass, N., & Tola, D. H. (2019). Marijuana Use in the Anesthetized Patient: History, Pharmacology, and Anesthetic Considerations. AANA Journal, 87(6), 451-458.

Huson, H. B., Granados, T. M., & Rasko, Y. (2018). Surgical considerations of marijuana use in elective procedures. Heliyon, 4(9), e00779-e00779. doi:10.1016/j.heliyon.2018.e00779.

Salottolo, K., Peck, L., Tanner Ii, A., Carrick, M. M., Madayag, R., McGuire, E., & Bar-Or, D. (2018). The grass is not always greener: a multi-institutional pilot study of marijuana use and acute pain management following traumatic injury. Patient safety in surgery, 12(1), 16-16. doi:10.1186/s13037-018-0163-3.

Twardowski, M. A., Link, M. M., & Twardowski, N. M. (2019). Effects of Cannabis Use on Sedation Requirements for Endoscopic Procedures. The Journal of the American Osteopathic Association, 119(5), 307. doi:10.7556/jaoa.2019.052

By Jon Lowrance

Jon Lowrance, MSN, CRNA is the producer of Anesthesia Guidebook, the go-to guide for anesthesia providers.