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October 31, 2024

Question of the Day – Thursday, October 31, 2024

For patients aged 65 and older receiving isoflurane or sevoflurane, what was the difference in minimum alveolar concentrations (MAC) used in those with established cannabis use vs. those without?

Cannabis users had a higher average MAC than nonusers (mean ± SD, 0.58±0.23 vs. 0.54±0.22), for a difference of 0.04; 95% confidence limits, 0.01 to 0.06; P = 0.020. However, the clinical significance is debatable.

Sajdeya R, Rouhizadeh M, Cook RL, Ison RL, Bai C, Jugl S, Gao H, Mardini MT, Zandbiglari K, Adiba FI, Dasa O. Cannabis Use and Inhalational Anesthesia Administration in Older Adults: A Propensity-matched Retrospective Cohort Study. Anesthesiology. 2024 Aug 27:10-97.

Contributed by Kristine Nanagas, MD

Posted in Question Of The Day
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