ReviewHeliyon2018
Surgical considerations of marijuana use in elective procedures.
Review in Heliyon, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.
- Effects of Perioperative Cannabis Use on Bariatric Surgical Outcomes: a Systematic Review.Obesity surgery · 2021Pooled it
- High-Risk Substance and Polysubstance Use Among Elective Surgery Patients: Prevalence and Risk Factors.Journal of the American College of Surgeons · 2026Article
- Nationwide outcomes of cardiac surgery in patients with cannabis use disorder.Journal of cardiothoracic surgery · 2026Article
- Cannabis use in Patients With Inflammatory Bowel Disease is Associated With Longer Endoscopic Duration and Endoscopic Inflammation.Crohn's & colitis 360 · 2025Article
- Quantitative Analysis of Propofol Dosage in Cannabis Users: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2025Review
- Marijuana's Impact On Implant-based Breast Reconstruction: A Retrospective Cohort Study.Plastic and reconstructive surgery. Global open · 2024Article
- Cannabis smoking and abdominal wall reconstruction outcomes: a propensity score-matched analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Peri-Operative Impact of Cannabis Use in Conjunction With Elective Primary Breast Augmentation in a Private Practice.Cureus · 2024Article
- Potential perioperative cardiovascular outcomes in cannabis/cannabinoid users. A call for caution.Frontiers in cardiovascular medicine · 2024Review
- Cannabis Use Is Associated With Increased Use of Prescription Opioids Following Posterior Lumbar Spinal Fusion Surgery.Global spine journal · 2024Article
- Cannabis use and flap reconstruction: A propensity score matched analysis.Microsurgery · 2023Article
- [Does medicinal cannabis or cannabis consumption have an influence on the perioperative anesthesiological management?]Die Anaesthesiologie · 2023Review
- Cannabis use and post-operative complications in patients undergoing pancreatic resection.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2023Article
- Illicit Drug Use and Endoscopy: When Do We Say No?Digestive diseases and sciences · 2022Review
- Analyzing the Impact of Cannabinoids on the Treatment of Spinal Disorders.Current reviews in musculoskeletal medicine · 2022Review
- Impact of pre-operative recreational marijuana use on outcomes two years after orthopaedic surgery.International orthopaedics · 2021Article
- Anesthesia for Patients Who Self-Report Cannabis (Marijuana) Use Before Esophagogastroduodenoscopy: A Retrospective Review.AANA journal · 2021Article
- Marijuana and Bariatric Surgery.Current psychiatry reports · 2021Review
- Medicinal and Recreational Marijuana: Review of the Literature and Recommendations for the Plastic Surgeon.Plastic and reconstructive surgery. Global open · 2020Article
- Cannabis use patterns among patients with upper extremity conditions at the time of legalization in Canada.Canadian journal of surgery. Journal canadien de chirurgieArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMarijuana consumption is estimated as upwards of 9.5% of the U.S. adult population. Nevertheless, few trials exist on potential implications for surgical outcomes amongst users.
methodsA current literature review explored marijuana's effects to answer: (I) How is marijuana use screened for in clinical and pre-operative settings? (II) What are potential surgical complications of marijuana use? (III) How should surgeons handle patient marijuana use regarding elective surgery? (IV) Are marijuana's effects the same or different from those of tobacco?
resultsIn acute settings, marijuana's effects peaked at approximately 1 hour post initiation, lasting 2-4 hours. Marijuana increased cardiac workload, myocardial infarctions and strokes in young, chronic users. Cannabis caused similar pulmonary complications to those of a tobacco smoker. Marijuana caused airway obstruction and increased anesthetic dosages needed to place laryngeal airways. Use within 72 hours of general anesthesia was advised against.
conclusionsMarijuana use is problematic to surgeons, left without evidence-based approaches. In emergency settings, marijuana use may be unavoidable. However, further research would provide much needed information to guide elective procedures.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.