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Preoperative Preparation and Guidelines for Cannabis-Using Patients Undergoing Elective Surgery
Joseph Stover1, Valerie K Sabol2, Aaron Eastman3
1Staff CRNA, Astria Sunnyside Hospital, Sunnyside, WA.
Summary
Screening surgical patients for cannabis use improves preoperative care. Identifying cannabis users by certified registered nurse anesthetists (CRNAs) and registered nurses (RNs) increased, enhancing patient safety without altering anesthetic needs.
Area of Science:
- Anesthesiology
- Perioperative Medicine
- Quality Improvement
Background:
- An increasing number of surgical patients use cannabis.
- Standardized preoperative screening for cannabis use is lacking.
- This poses challenges for safe anesthesia administration.
Purpose of the Study:
- To evaluate the effectiveness of preoperative screening techniques for identifying cannabis users.
- To compare identification rates by registered nurses (RNs) and certified registered nurse anesthetists (CRNAs).
- To assess CRNA compliance with evidence-based guidelines for cannabis user identification.
Main Methods:
- A quasi-experimental quality improvement project was conducted.
- Preoperative identification rates of cannabis users by RNs and CRNAs were compared to baseline.
- CRNA compliance with guidelines and perioperative medication requirements were recorded.
Main Results:
- CRNA identification of cannabis users increased from 4.08% to 14.36%.
- RN identification improved from 11.22% to 13.81%.
- CRNA compliance with identification guidelines was 69.2%; no significant differences in anesthetic requirements or outcomes were observed between cannabis users and nonusers.
Conclusions:
- Enhanced preoperative identification of cannabis users is crucial for safe perioperative care.
- Implementation of screening protocols by RNs and CRNAs improves patient safety.
- Effective screening facilitates better collaboration among anesthesia providers and surgical staff.
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