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Chronic Cannabis Intoxication and Propofol-Induced Salivation: Causes and Considerations
Allison Derise1, Carey Ford1, Nazar Hafiz2
1School of Medicine, LSU Health Sciences, Shreveport, LA 71130, USA.
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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