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Effects of Cannabis Use Before and After Surgery

Effects of Cannabis Use Before and After Surgery

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In January 2023, the American Society of Regional Anesthesia and Pain Medicine published guidelines recommending that all patients undergoing anesthesia be screened and questioned about cannabis use, including how much and how often they use, how they take it and when they last used it.


One of the largest studies on the effects of cannabis use on sedation, published in the Journal of Osteopathic Medicine, looked at 250 patients undergoing an endoscopy while under anesthesia. Those that reported regular cannabis use required significantly higher doses of anesthesia than nonusers. Another study, published in the journal PLOS ONE, found that daily cannabis users required a higher dose of sedatives prior to an endoscopy than weekly or monthly users.


On a related note, a 2018 study published in the journal Patient Safety in Surgery reported that marijuana use may interfere with painkillers after surgery. The study looked at 261 trauma center patients and concluded that marijuana use, especially chronic use, may affect the pain response to injury and require higher doses of opioids for pain management.

In-Print National Content Global and Health Briefs Health Brief July 2023
Tick Talk

Spring officially sprung on March 21. We have turned our clocks ahead. We are looking forward to warm winds, sunny skies and the smell of fresh cut grass. The daffodils and tulips have recently bloomed and we are just starting with the yard work that comes with the warmer weather.  Sadly, another season has started ramping up.  Tick season.

•             The best form of protection is prevention. Educating oneself about tick activity and how our behaviors overlap with tick habitats is the first step.

•             According to the NJ DOH, in 2022 Hunterdon County led the state with a Lyme disease incidence rate of 426 cases per 100,000 people. The fact is ticks spend approximately 90% of their lives not on a host but aggressively searching for one, molting to their next stage or over-wintering. This is why a tick remediation program should be implemented on school grounds where NJ DOH deems high risk for tick exposure and subsequent attachment to human hosts.

•             Governor Murphy has signed a bill that mandates tick education in NJ public schools. See this for the details.  Tick education must now be incorporated into K-12 school curriculum. See link:

https://www.nj.gov/education/broadcasts/2023/sept/27/TicksandTick-BorneIllnessEducation.pdf

•             May is a great month to remind the public that tick activity is in full swing. In New Jersey, there are many tickborne diseases that affect residents, including Anaplasmosis, Babesiosis, Ehrlichiosis, Lyme disease, Powassan, and Spotted Fever Group Rickettsiosis.

•             For years, the focus has mainly been about protecting ourselves from Lyme disease. But other tick-borne diseases are on the rise in Central Jersey. An increase of incidence of Babesia and Anaplasma are sidelining people too. These two pathogens are scary because they effect our blood cells. Babesia affects the red blood cells and Anaplasma effects the white blood cells.

•             Ticks can be infected with more than one pathogen. When you contract Lyme it is possible to contract more than just that one disease. This is called a co-infection. It is super important to pay attention to your symptoms. See link.

https://twp.freehold.nj.us/480/Disease-Co-Infection

A good resource from the State:

https://www.nj.gov/health/cd/topics/tickborne.shtml

 

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