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Surgery complications due to Drug abuse - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Drug Abuse
Answered by

General & Family Physician
Practicing since : 2009
Answered : 550 Questions
User :   can smoking pot 1 day before minor arthroscopic shoulder surgery affect the anestesiology? they told me to stop a week before but i read otherwise. please advise what to say/do
User :   hi
Doctor :   not strictly
Doctor :   its ok,
Doctor :   but heavy smoking may affect the gas exchange in the lungs during the suregery
User :   i also smoke cigarretes. when you say it "may" affect is the not likely, possible, likely?\
Doctor :   if its cigarettes , smoking more than 3 per day in a week before surgery will affect the surgery
Doctor :   but , i am sorry i cannot comment on pot smoking as there are many variants
User :   variants?
User :   i smoke hydroponics marijuana
Doctor :   ok, i get it
Doctor :   its contraindicated
User :   ok when you say smoking cigarettes will affect the surgery, how?
Doctor :   as the concentrations of marijuana ( cannabis) stays more than 3 to 5 days in blood
Doctor :   smoking of the cigarettes will lay a coat of carbon tar over the alveolar lining , and cause difficulty in gas ( oxygen , CO2, anaesthesia ) exchange during surgery
User :   Are you suggesting that i do not have the surgery? it is scheduled for tomorrow. is there anything i can do to drink water ?
Doctor :   consult the anesthesiologist , if he needs he may order blood test for cannabis concentration and act accordingly
User :   ok can you give me an overall level of danger for smoking pot and cigarettes 1 day before this surgery? please answer very low, low, medium, high, very high
Doctor :   low
Doctor :   do not worry
Doctor :   its not dangerous
Doctor :   but its better to inform the anesthesiologist once before surgery
User :   what is the likelyhood that they will cancel the surgery? keep in mind its the minor scopic on left shoulder surgery
Doctor :   30%
User :   is there anything i can do to help? drink water?
Doctor :   Drinking water may help , but not clear you off it
Doctor :   as i said it takes days for it to get off form the blood completely
User :   have you ever heard of major complications from a situation as like mine?
Doctor :   no , not at al
Doctor :   its just theoritical
User :   ok thanks so much. goodnight
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