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Kratom Use: An Emerging Perioperative Nursing Concern.

Billie S Vance, Laurel Miner, Aaron Ostrowski

    AORN Journal
    |April 27, 2026
    PubMed
    Summary
    This summary is machine-generated.

    Kratom use presents perioperative challenges due to its effects on pain management and patient stability. Preoperative screening and team communication are vital for safe surgical care in patients using this substance.

    Keywords:
    Mitragyna speciosaanesthesia complicationsherbal supplementskratomsubstance‐related disorders

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    Area of Science:

    • Anesthesiology
    • Pharmacology
    • Public Health

    Background:

    • Kratom (Mitragyna speciosa) is increasingly used, often unrecognized by healthcare professionals.
    • It acts on opioid, adrenergic, and serotonin receptors, influencing physiological responses.
    • Use as an opioid substitute or for mood alteration is common.

    Purpose of the Study:

    • To highlight the perioperative risks associated with kratom use.
    • To emphasize the importance of preoperative screening for kratom consumption.
    • To inform healthcare teams about potential complications and management strategies.

    Main Methods:

    • Literature review on kratom's pharmacology and clinical effects.
    • Analysis of reported perioperative complications in surgical patients.
    • Discussion of screening protocols and interdisciplinary communication.

    Main Results:

    • Kratom use is linked to challenges in pain management, hemodynamic instability, agitation, and withdrawal.
    • A significant number of Americans have used kratom, indicating potential for perioperative encounters.
    • Preoperative identification of kratom use enables better patient management.

    Conclusions:

    • Kratom poses significant perioperative challenges requiring increased awareness among health professionals.
    • Preoperative screening for kratom use is crucial for patient safety.
    • Effective communication among perioperative teams is essential for managing patients using kratom.