Use Jar? You may need more sedation during endoscopies

News Photo: Using Pot?  You may need more sedation during endoscopies

WEDNESDAY, May 25, 2022 (HealthDay News)

If you’re using pot, you may need more sedation than normal during a gastric endoscopy, according to a new study.

“Patients were not more aware or uncomfortable during the procedures, but they required more medication,” lead author Dr. Yasmin Nasser said in a press release from the American Gastroenterological Association. Nasser is an assistant professor at the Institute of Chronic Diseases at the University of Calgary School of Medicine in Canada.

With increased legalization and use of marijuanaPhysicians should be aware of patients’ use of the drug and prepare themselves and their patients for the possible need for increased sedation and the associated risks, the study authors said.

During an endoscopy, a tube with a camera is inserted down the throat to examine the upper digestive system. Patients usually receive conscious sedationmeaning they are partially conscious but relaxed during the procedure.

In this study, researchers assessed the association between marijuana and sedation in 419 adult outpatients undergoing gastric endoscopy or colonoscopy at three centers in Canada.

Patients were asked about their use of the potty and their level of consciousness and comfort during the procedure. The researchers analyzed the use of the sedatives midazolam, fentanyl and diphenhydramine during the patients’ procedures.

Marijuana users were more likely to require higher total sedation—defined as more than 5 mg of midazolam, or more than 100 mcg of fentanyl, or the need for diphenhydramine—during gastric endoscopy, but not during colonoscopy.

Gastric endoscopy generally requires more sedation than colonoscopy because the endoscope irritates the upper part of the gastrointestinal tract, often triggering the gag reflex, the researchers explained.

Nasser presented the study Saturday at the American Gastroenterological Association’s Digestive Disease Week meeting in San Diego. Studies presented at meetings are generally considered preliminary until they are published in a peer-reviewed medical journal.

The researchers noted that they only compared marijuana users and nonusers, but did not examine how the timing, amount, or method of pot use might affect the need for greater sedation. conscious.

They pointed out that their study did not examine the impact of marijuana on propofol sedation, which is more commonly used in the United States.

More information

To learn more about gastric endoscopy, go to US National Institute of Diabetes and Digestive and Kidney Diseases.

SOURCE: American Association of Gastroenterology, press release, May 21, 2022

By Robert Preidt Health Day Journalist

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