Journal of clinical anesthesia
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According to the 2015 National Survey on Drug Use and Health, marijuana continues to be the most common illicit recreational drug used in the US. Cannabis is associated with systemic reactions that potentially affect perioperative outcomes. We have reviewed the most important pharmacological aspects and pathophysiological effects that should be considered during the perioperative management of chronic cannabis/cannabinoids users. ⋯ Severe vascular complications associated with cannabis exposure may include malignant arrhythmias, coronary spasm, sudden death, cerebral hypoperfusion and stroke. Bronchial hyperreactivity and upper airway obstruction are commonly reported in cannabis users. Postoperative hypothermia, shivering and increased platelet aggregation have been also documented.
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Letter Case Reports Retracted Publication
Lumbar thoracolumbar interfascial plane block provides effective analgesia for spondylosis.
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Randomized Controlled Trial Comparative Study
Influence of reversal of neuromuscular blockade with sugammadex or neostigmine on postoperative quality of recovery following a single bolus dose of rocuronium: A prospective, randomized, double-blinded, controlled study.
Although there is some statistically significant improvement in very early post-operative physiology for sugammadex vs neostigmine, it is not clinically significant, persistent nor occurs in other recovery domains.
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