Matches in SemOpenAlex for { <https://semopenalex.org/work/W4225647629> ?p ?o ?g. }
Showing items 1 to 59 of
59
with 100 items per page.
- W4225647629 abstract "BACKGROUND Tetrahydrocannabinol has been implicated in gastroparesis development, a disorder characterized by delayed gastric emptying in the absence of mechanical obstruction. While most patients with gastroparesis present with upper gastrointestinal symptoms, patients with significantly delayed emptying can be asymptomatic, creating a dangerous aspiration risk. CASE REPORT A 24-year-old man with a body mass index of 22 presented for right lower extremity open reduction and internal fixation. He endorsed daily marijuana use. His last meal was at 10 PM the prior night. After induction of general anesthesia and laryngeal mask airway (LMA) placement, 150 cc of gastric contents filled the LMA. The LMA was immediately removed and 25 to 50 cc of gastric contents was suctioned from the oropharynx. The airway was immediately secured with an endotracheal tube, after which 500 cc of clear gastric contents was suctioned from the stomach. Bronchoscopy revealed no obvious gastric contents in the tracheobronchial tree. The patient maintained adequate ventilation and oxygenation. He was safely extubated and brought to the post-anesthesia care unit, where recovery was uneventful. CONCLUSIONS Our case raises important questions and considerations for management of THC- dependent patients with potential for impacting NPO guidelines. It is unclear whether the quantity and chronicity of THC use effects gastroparesis development. The patient endorsed no signs of hyperemesis syndrome or gastric fullness; therefore, we cannot reliably deem patients risk-free based on their lack of symptomology alone. Until the true incidence of THC-induced gastroparesis is elicited in further studies, it is prudent to take aspiration precautions in all patients who endorse THC use." @default.
- W4225647629 created "2022-05-05" @default.
- W4225647629 creator A5002618176 @default.
- W4225647629 creator A5033191631 @default.
- W4225647629 date "2021-10-18" @default.
- W4225647629 modified "2023-09-26" @default.
- W4225647629 title "A Reason to Rethink Fasting Guidelines? Marijuana-Induced Gastroparesis and the Implications for Aspiration Risk in the Nil Per Os (NPO) Patient: A Case Report" @default.
- W4225647629 doi "https://doi.org/10.12659/ajcr.934187" @default.
- W4225647629 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/34840324" @default.
- W4225647629 hasPublicationYear "2021" @default.
- W4225647629 type Work @default.
- W4225647629 citedByCount "0" @default.
- W4225647629 crossrefType "journal-article" @default.
- W4225647629 hasAuthorship W4225647629A5002618176 @default.
- W4225647629 hasAuthorship W4225647629A5033191631 @default.
- W4225647629 hasBestOaLocation W42256476292 @default.
- W4225647629 hasConcept C105922876 @default.
- W4225647629 hasConcept C141071460 @default.
- W4225647629 hasConcept C2776285903 @default.
- W4225647629 hasConcept C2777910003 @default.
- W4225647629 hasConcept C2777963132 @default.
- W4225647629 hasConcept C2778012502 @default.
- W4225647629 hasConcept C2778769438 @default.
- W4225647629 hasConcept C2779422922 @default.
- W4225647629 hasConcept C3020479747 @default.
- W4225647629 hasConcept C42219234 @default.
- W4225647629 hasConcept C71924100 @default.
- W4225647629 hasConcept C90924648 @default.
- W4225647629 hasConceptScore W4225647629C105922876 @default.
- W4225647629 hasConceptScore W4225647629C141071460 @default.
- W4225647629 hasConceptScore W4225647629C2776285903 @default.
- W4225647629 hasConceptScore W4225647629C2777910003 @default.
- W4225647629 hasConceptScore W4225647629C2777963132 @default.
- W4225647629 hasConceptScore W4225647629C2778012502 @default.
- W4225647629 hasConceptScore W4225647629C2778769438 @default.
- W4225647629 hasConceptScore W4225647629C2779422922 @default.
- W4225647629 hasConceptScore W4225647629C3020479747 @default.
- W4225647629 hasConceptScore W4225647629C42219234 @default.
- W4225647629 hasConceptScore W4225647629C71924100 @default.
- W4225647629 hasConceptScore W4225647629C90924648 @default.
- W4225647629 hasLocation W42256476291 @default.
- W4225647629 hasLocation W42256476292 @default.
- W4225647629 hasLocation W42256476293 @default.
- W4225647629 hasOpenAccess W4225647629 @default.
- W4225647629 hasPrimaryLocation W42256476291 @default.
- W4225647629 hasRelatedWork W16180139 @default.
- W4225647629 hasRelatedWork W2033089534 @default.
- W4225647629 hasRelatedWork W2401666613 @default.
- W4225647629 hasRelatedWork W2567738959 @default.
- W4225647629 hasRelatedWork W2883336076 @default.
- W4225647629 hasRelatedWork W2899121148 @default.
- W4225647629 hasRelatedWork W2981857729 @default.
- W4225647629 hasRelatedWork W3030468689 @default.
- W4225647629 hasRelatedWork W3154898157 @default.
- W4225647629 hasRelatedWork W4241758983 @default.
- W4225647629 hasVolume "22" @default.
- W4225647629 isParatext "false" @default.
- W4225647629 isRetracted "false" @default.
- W4225647629 workType "article" @default.