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Chronic Cannabis Intoxication and Propofol-Induced Salivation: Causes and Considerations. PATHOPHYSIOLOGY 2022; 29:223-232. [PMID: 35736646 PMCID: PMC9229402 DOI: 10.3390/pathophysiology29020018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 05/16/2022] [Accepted: 05/19/2022] [Indexed: 11/16/2022] Open
Abstract
Legalization/decriminalization of cannabis will increase the numbers of patients who have had recent exposure to recreational or medical cannabis. Currently, little has been reported about potential interactions between cannabis use and Propofol anesthesia e.g., for oropharyngeal procedures. We describe three cases of ‘cannabis-induced hypersalivation after propofol’ (CHAP) and present our institutions’ experience with this unique pharmacological combination. Increased hypersalivation may complicate procedures and represent a procedural risk of suffocation. We evaluate possible pharmacological interactions that might underlie this phenomenon and consider management options going forward.
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Ogurlu M, Sari S, Küçük M, Bakiş M, Uğur B, Eshraghi YE, Galimberti F, Turan A. Comparison of the Effect of Propofol and Sevoflurane Anaesthesia on Acute and Chronic Postoperative Pain after Hysterectomy. Anaesth Intensive Care 2019; 42:365-70. [DOI: 10.1177/0310057x1404200314] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- M. Ogurlu
- Department of Anesthesiology and Reanimation, Adnan Menderes University, Aydin, Turkey
| | - S. Sari
- Department of Anesthesiology and Reanimation, Adnan Menderes University, Aydin, Turkey
| | - M. Küçük
- Department of Anesthesiology and Reanimation, Adnan Menderes University, Aydin, Turkey
| | - M. Bakiş
- Department of Anesthesiology and Reanimation, Adnan Menderes University, Aydin, Turkey
| | - B. Uğur
- Department of Anesthesiology and Reanimation, Adnan Menderes University, Aydin, Turkey
| | - Y. E. Eshraghi
- Department of Anesthesiology and Reanimation, Adnan Menderes University, Aydin, Turkey
- Department of Anesthesiology, Case Western Reserve University, MetroHealth Medical Center, Cleveland, Ohio, USA
| | - F. Galimberti
- Department of Anesthesiology and Reanimation, Adnan Menderes University, Aydin, Turkey
- Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio, USA
| | - A. Turan
- Department of Anesthesiology and Reanimation, Adnan Menderes University, Aydin, Turkey
- Department of Outcomes Research, Cleveland Clinic, Cleveland, Ohio, USA
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